Aura Consent Forms
Spray Tan Treatment Consultation Form
Personal / Contact Details
Name
Please enter Name.
Date of Birth (dd/mm/yyyy)
Please enter/select Date of Birth.
Email Address
Please enter Email Address.
Phone Number
Please enter Phone Number.
Postcode
Please enter Postcode.
Address
Please enter Address.
Therapist
Please enter Therapist.
Patch Test
All of our products undergo extensive testing in line with industry standards and comply with all applicable requirements to ensure that they are safe. However a person's reaction to any product is personal to them and products of any kind can cause allergy or other reactions.
We strongly recommend that all of our customers participate in a skin sensitivity test at least 48 hours prior to the full application of any product, to reduce the risk of an adverse reaction, even if previously used. However, you are responsible for your own safety and it is your decision as to whether you wish to participate in a test or not. Please tick the box applicable to you below, then sign and date this Consultation Form to confirm your understanding of this.
I have undergone an allergy/skin sensitivity test. I do, however, acknowledge that applying any product to the skin or hair is never entirely without risk.
Patch Test Date (dd/mm/yyyy)
Clear Signature
Have you used tanning products before?
Yes
No
Have you had any recent wounds, tattoos, piercing or surgery?
Yes
No
Are you taking any medication or are you under a Doctor's care?
Yes
No
Do you suffer from any respiratory problems?
Yes
No
Are you pregnant, breast feeding or undergoing IVF?
Yes
No
Have you undergone hair removal in the last 24 hours?
Yes
No
Do you have bleached hair or eyebrows?
Yes
No
Have you used St.Tropez Tan Enhancing Polish?
Yes
No
Do you have any of the following?
Allergies
Yes
No
Hypersensitive skin
Yes
No
Skin disorders
Yes
No
Consent Form: Disclaimer
I understand a patch test is required before I have the above treatment due to a possible reaction to the product or glue. However, I am prepared to take full responsibility with this disclaimer and will not pursue any action against the therapist or salon should there be any reaction what so ever. No refunds will be given.
Please accept Disclaimer.
Clear Signature
Submit Form