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Glowen Tan New Client Release Form

Glowen Tan New Client Release Form

Please complete this form before your first UV tanning session. Your responses help us provide a safer tanning experience.

Client Information

Skin & Tanning History

Health Screening

Some health conditions, medications, supplements, skincare products, and recent cosmetic procedures may increase sensitivity to ultraviolet light or make tanning inappropriate. When unsure, consult your physician or pharmacist before using a tanning device.

UV Tanning Risk Acknowledgment

Please read carefully.

Ultraviolet radiation from tanning devices can cause skin burns, premature skin aging, eye damage, and an increased risk of skin cancer, including melanoma.

Tanning results vary by individual. Following recommended exposure times reduces the likelihood of burning but does not eliminate the health risks associated with ultraviolet radiation.

Protective eyewear must be worn during every UV tanning session. Closing your eyes is not an adequate substitute for approved protective eyewear.

Certain medications, supplements, cosmetics, and skin treatments can increase sensitivity to ultraviolet radiation. Clients should consult a physician or pharmacist when unsure whether a medication or health condition makes tanning inappropriate.

Client Certification

I certify that the information I have provided is accurate to the best of my knowledge. I understand that this form does not constitute medical advice or medical clearance to use a tanning device.

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