New_Client

Client Consultation Card Please complete the following and your details will be added to the salon system.
Please read the following carefully: You should treat and indoor tanning session with the same caution as normal sunlight. A tan should be built gradually. Never repeat a tanning session if any signs of redness remain from previous sunbathing or tanning. Always wear goggles or protective eyewear, remove contact lenses, keep eyes closed and avoid looking directly at the light tubes. Tanning sessions should be limited to once every 48 hours and not exceed 500 minutes in one year. Your first few sessions will be restricted to a maximum of 6 minutes especially for persons with sensitive skin or no existing tan.
If the answer to any of the following questions is YES, you should consult your doctor before using an indoor tanning system. Do you suffer from: ill effects from normal sunbathing, epilepsy, giddiness or fainting, headaches or migraine, heart condition, blood pressure, hypertension, prickly heat, cold sores, allergies, skin ulcers or raised/ multiple moles? Are you: currently under medical supervision, prescribed or taking any form of drug, ointment/lotion, antibiotic or tranquilliser, diabetic, pregnant or hypersensitive to light? Have you had: hot waxing, bleaching or electrolysis in the past 48 hours?
Full name:*
Date of Birth: You must be 18 or over to register*
Street Address:*
Town:*
Postcode:*
Mobile Number:*
Email:*
Gender:*
Please fill out the following questions so we may identify which skin type you are:
Eye colour:*	Light Blue, Grey or Green Blue, Grey or Green Light Brown Dark Brown
Natural Hair Colour:*	Red Blonde Chestnut or Dark Blonde Dark Brown Black
Colour of non exposed skin:*	Very Pale Pale Medium Olive Black/Asian
Do you have freckles:*	All over skin Many More than a few One or two None
How does your skin tan:*	Hardly or never Tan slightly Reasonable Tan very easily Never burn
How fast does your skin develop a tan?*	Never After a week Immediately red followed by brown Same evening Immediately
How does your face react to the sun?*	Very sensitive Sensitive Normal Can stand it very well Never any trouble
When did you last tan (sunbed or sunbathe)?*	More than 3 months ago 2-3 months ago 1-2 months ago Less than 1 month ago Less than 15 days ago
Marketing: Please check box if you agree	Yes I agree to The Suntan Shop using my mobile number and email address for sending me special offers and salon information. We will not pass on your details to any 3rd party.
By submitting this form you are signing to confirm that you have read and understood the information provided on this form, are 18 years of age or over, and satisfied that you are suitable for tanning treatments.