Email used for your membership *

1. Failure to use the eye protection provided by this tanning facility may result in damage to the eyes. *

I acknowledge.

2. Overexposure to ultraviolet light causes burns. *

I acknowledge.

3. Repeated exposure may result in premature aging of the skin and skin cancer. *

I acknowledge.

4. Abnormal skin sensitivity or burns may be caused by the reaction of: A) Foods; B) Cosmetics; C) Medications, including tranquilizers, diuretics, antibiotics, high blood-pressure medicines, and oral contraceptives. *

I acknowledge.

5. Any person taking a prescription drug or over-the-counter drug should consult a physician before using a tanning device. *

I acknowledge.

6. A person should not sunbathe before or after exposure to ultraviolet radiation from sunlamps. *

I acknowledge.

7. I confirm that I am 18 years old or older. *

I acknowledge.

Name of Tanning Bed/Booth User. Today's Date. *

INITIAL VISIT STATEMENT

By my submission of this for, with my name and date entered, I acknowledge that I have read and understand the warning statements listed hereon relating to tanning, and that, after signing this document, I have received a copy of same.

Thank you!

Thank you for submitting your consent form. Have a great day!

Thank you!

Thank you for submitting your consent form. Have a great day!

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