Intake Form | Sol Glo Studio

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Sol Glo Studio Spray Tanning Salon Plymouth MA

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Intake Form

If this is your first time coming to Sol Glo Studio,
please fill out this form prior to appointment.

First name*

Last name*

Phone*

Email*

Address*

City, State, Zip*

Birthday Month*

How did you hear about us?*

Do you have any known skin concerns?*

If yes, please list here:

Are you on any medications?*

If yes, please list here:

Any known allergies?*

If yes, please list here:

Which best describes your skin type?*

What level of tan would you like to achieve?*

Please check all that apply?*

Have you ever received a spray tan?

Did you exfoliate in the past 24 hours?

Are there any products on your skin?

Have you had a sunburn in the past 3 months?

Are you currently breastfeeding or pregnant?

Have you shaved or waxed in the last 24 hours?

Are you currently taking accutane?

Do you use any retinols or active acids (AHA's) in your skincare routine?

Do you have any open wounds, cuts, or recent tattoos anywhere on your body?

Do you give us permission to use photos of your tan for marketing purposes?

Spray Tanning by use of DHA (active ingredient) is generally considered to be safe and has been FDA approved ONLY if you follow guidelines to protect mucous membranes. You may request measures to protect your eyes and mucous membranes and prevent inhalation. All ingredients used in this service are intended for cosmetic use and generally regarded as safe (ingredient list is available upon request). Individuals may be allergic to one or more ingredients in the spray tan solution. Spray Tanning does not provide protection from the sun and does not contain any SPF.

Signature*

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Date*