Client #
_______
NEW CUSTOMER FORM
Applicants under the age of 18 will require a parent/guardian to co-sign this waiver. Consent to use of the tanning facilities is conditional upon
provision of accurate answers to the following questions and signing of the Waiver of Liability. Please Read and Answer Carefully
PLEASE NOTE: For your protection none of your information will be distributed
NAME: ______________________________________________
SEX: M / F
DATE OF BIRTH: ___________________ (MM/DD/YY)
ADDRESS: ______________________________________________ UNIT NUMBER: _____________________
CITY/PROVINCE: ____________________________
POSTAL CODE: ____________________
CELL PHONE: ______________________ EMAIL: __________________________________(In order to receive VIP specials we require an email address)
Receive a FREE tan on your birthday! Your birthday must be filled out on this form at time of registration and be in our computer system.
1.
What is the reason for your visit today?
 upcoming vacation
 develop a tan
 maintain tan
 medical reasons
2.
What is your desired level of tan?
 light tan
 medium tan
 dark tan
 maximum tan
3.
How did you hear about Solace Tanning Studios?
 Word of Mouth  Signs  Walk / Drive-by
 Metro Newspaper
 Referral (full name) ___________________________________
 Google
 Yelp
 Weblocal.ca
 Toronto.com
4.
Have you tanned in the last 30 days?
Y
N
5.
Do you tan easily?
Y
N
6.
Do you go regularly into the sun?
Y
N
7.
Do you have a tendency to burn?
Y
N
8.
Do you have any know allergies to sunlight?
Y
N
9.
Have you ever suffered from a major sunburn?
Y
N
10. Are you sunburned on any part of your body?
Y
N
11. Are there areas of your body that are NOT currently tanned?
Y
N
12. How would you describe the current level of your tan?
 no tan
 light tan
 medium tan
 dark tan
 maximum tan
 other _______________________
 Postcard Mailing
 Wag Jag
13. Have you ever been advised by a physician to stay out of the sun?
Y
N
If yes, for what reason: _________________________________________________________
14. Are you taking any medication that could cause photosensitivity?
Y
N
If yes, please list ______________________________________________________________
Please see the list at reception.
15. Are you pregnant or suspect that you may be pregnant?
Y
N
16. Do you have any tattoos?
Y
N
If so, how long ago was the last procedure? _________________________________________
17. Do you wear contact lenses?
Y
N
18. Do you have psoriasis or rosacea?
Y
N
19. Do you have systemic lupus erythmatosis?
Y
N
20. Have you ever received medical treatment for a diagnosis of skin cancer?  Y
N
If yes, please list details: ________________________________________________________
Other things you should know:

Your session times are determined according to your skin type, tanning history as well as the condition of our tanning lamps and not by the
maximum exposure times of the tanning units. We realize that you may have been tanning elsewhere, but we know our equipment the best;
please follow our advice. Failure to follow said advice may result in burning for which we cannot be held responsible.

In order to accurately compile client histories each person wishing to tan must sign a Waiver and be entered into our computer program.

We promote responsible tanning and do not allow double sessions or tanning more than once per day.

Please try to be early for your appointments; we may not be able to honour your appointment if you are late.

Mineral oil, baby oil, outdoor tanning oils and lotions, etc. are harmful to the tanning bed acrylics. Please do not use any lotion that is not intended
for indoor use and/or that has not been approved by one of our staff. Using these items may result in the loss of your points/package without
notice.

Cleanliness is VERY important to us. We sanitize the room door handles, the chair, the music volume knob, the handles and controls on the
beds, the top and bottom acrylics and the pillow after every session.

We don’t supply eye protection for health and sanitary purposes. You are required to wear eye protection for every session. Your eyelids are
only .04mm thick and UV rays can penetrate up to 2mm deep. Do not tan without approved eyewear. Notify our staff if you don’t have personal
protective eyewear. Never remove your eyewear when the tanning equipment is on.

Our staff are Smart Tan Certified and we strive to ensure that you receive the safest and most comfortable tanning experience possible.

We will assist you in obtaining your desired level of tan with our tanning knowledge and experience. Solace Tanning Studios will also be able to
assist with choosing the lotion best suited for your skin type and tanning objectives.
Turn for signature
CLIENT RELEASE AND INFORMED CONSENT FORM
PLEASE READ THE FOLLOWING INFORMATION AND ACKNOWLEDGE THAT YOU UNDERSTAND AND ACCEPT ALL PROVISIONS BY
SIGNING BELOW. WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE AT ANY TIME.
It is our intention to keep you as well informed about tanning as possible. This means informing you how to operate the tanning equipment. The
proper procedure to following in the tanning room will be clearly explained by a member of our staff. We recommend sensible, moderate and
responsible exposure to Ultraviolet Radiation (UVR). If you do not develop a tan outdoors, you are unlikely to tan from the use of any tanning device.
Overexposure can cause Erythema (sunburn). Please feel free to ask ANY questions.
1.
AVOID OVEREXPOSURE
As with natural sunlight, overexposure can cause eye and skin injury and allergic reactions. Repeated overexposure may cause photo
aging of the skin, dryness, wrinkling and in some instance skin cancer. We recommend that you do not tan outdoors on days you are
tanning indoors, that you do not tan if you currently have a sunburn and that you, at most, tan only once in a 24 hour period.
2.
CERTAIN MEDICATION
Lotion and other products may cause your skin to be more sensitive to UV Rays. Check the posted list of drugs and products known to
increase the photosensitivity of the skin. Check with your physician or pharmacist if you are unsure about any medications you are taking or
if you have had a problem with indoor or outdoor tanning in the past.
WEAR PROTECTIVE EYEWEAR
You are required to wear protective eyewear while tanning in our facility. Failure to wear protective eyewear may result in severe burns or
long-term injury to the eye. We recommend that you remove contact lenses before tanning.
3.
I have read the contents of this consent form carefully and state that I am not aware of any medical condition or other reason that would
prohibit me from tanning. I understand that I will not be allowed to exceed the maximum recommended tanning time by certified staff. I
have been given a tour and adequate instructions for the proper use of the tanning equipment, understand the risks involved, and use it at
my own risk. I hereby agree to release the owners, operators and manufacturers from any injury or damages that I might incur due to the
use of this facility.
Name: ____________________________
Signature: ___________________________
Date: _______________________
Employee Signature: _________________________________________
Date: _______________________
Parent/Guardian Signature: ____________________________________
Date: _______________________
OPTIONAL SKIN TYPE ANALYSIS
The Golden Rule of Smart Tanning is simple: Don't EVER sunburn. Solace Tanning Studios is a professional indoor tanning facility and is
dedicated to helping you avoid sunburn whether you tan indoors with us and/or outdoors. Helping you understand how much sun your skin type can
handle is an important step in your life-long skin care regime.
Moderate sun exposure for individuals who can develop a tan is the smartest way to maximize the real benefits of sunlight while minimizing the risks of
too much or too little sun exposure. In keeping with our policy of Smart Indoor Tanning, new clients will be asked to answer the following Skin Type
Analysis questions before using any equipment on their first visit.
1. What is the natural color of your skin?
 Reddish-white
 White-beige
 Beige
 Light brown
 Brown
 Black
(0)
(2)
(4)
(8)
(12
(16)
5.
5. Which best describes your genetic heritage?
 Celtic Caucasian
 Caucasian, light-skinned European
 Caucasian, dark-skinned European
 Caucasian, Mediterranean
 Middle Eastern, Indian, Asian, Hispanic
 Aborigine, African, African-American
2. What is your natural hair color?
 Red, light blond
 Blond, light brown
 Brown
 Dark brown
 Brownish-black
 Black
(0)
(2)
(4)
(8)
(12)
(16)
6. Which best describes your SUNBURN potential?
 Always burn without tanning
(0)
 Usually burn but can tan
(2)
 Occasionally burn but tan moderately
(4)
 Seldom sunburn and tan easily
(8)
 Rarely sunburn and tan profusely
(12)
 Never sunburn
(16)
3. What is your eye color?
 Light blue, light green, light gray
 Blue, Green, Gray
 Light brown
 Brown
 Dark brown
 Black
(0)
(2)
(4)
(8)
(12)
(16)
4. How many freckles do you naturally have on your untanned
body?
 Many
(0)
 Some
(2)
 Few
(4)
 None
(8)
SKIN TYPE CHART
0–7
SKIN TYPE I
Very sensitive to sunlight.
8 – 21
SKIN TYPE II
Sensitive to sunlight.
22 – 42
SKIN TYPE III
Normal sensitivity to sunlight.
(0)
(2)
(4)
(8)
(12)
(16)
7. Which best describes your TANNING potential?
 Never tan
(0)
 Can tan lightly
(2)
 Can tan moderately
(4)
 Can get a dark tan
(8)
Submit this form to our staff to tally your points and determine your skin type.
Your skin type is determined by matching your total score to the skin type chart
below.
Total Score: ________________
Skin Type: ________________
43 – 64
65 – 84
85+
SKIN TYPE IV
SKIN TYPE V
SKIN TYPE VI
Skin is tolerant to sunlight.
Skin is brown. Very tolerant.
Skin is black. Extreme tolerance.
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