CLIENT INTAKE FORM

Please fill out the form below to receive spray tan services from Tonic Tan Co.

First Name

Last Name

Phone

Street Address

City

State

Zip code

How did you hear about Tonic Tan Co? Who referred you?

What best describes your skin type?

TYPE 1 - light, pale white, always burns, never tans

TYPE 2 - fair, white, usually burns, sometimes tans

TYPE 3 - medium to olive, sometimes burns, usually tans

TYPE 4 - olive, rarely burns, always tans

TYPE 5 - brown, very rarely burns, always tans

TYPE 6 - dark brown to black, never burns, always tans

What color are your undertones?

neutral undertones

warm undertones

cool undertones

I'm not sure - please advise.

What level tan would you like to achieve?

light

natural

bold

daring

What spray tan would you like to book?

TRADITIONAL SPRAY TAN - $70 - is perfect for those who prefer evening appointments and sleep in the solution. Worry-free application and effortless rinse-off with a set time of 8-12 hours, flawless tanning without the fear of staining clothes, stickiness, or overpowering scents.

RAPID SPRAY TAN - $75 - is best for those who want a quick rinse and get back to life as usual quickly. All of the benefits of our traditional tan, but with faster results and rinse time - achieve your desired glow with a rinse time ranging from 30 minutes to 6 hours, tailored to fit your needs.

ANTI-AGING SPRAY TAN - $80 - is for those who want the ultimate tanning experience! This solution is where tanning meets skincare: ultra-moisturizing, anti-aging, certified organic boosting solution with a faster appearing tan. Achieve your desired glow with a rinse time ranging from 30 minutes to 6 hours, tailored to fit your needs. Dries 2x faster with 10x smoother skin.

I'm unsure and need help deciding.

Have you had a spray tan or used tanning products before?

Yes

Did you shave/wax in the last 24 hours?

Yes

Did you exfoiliate in the past 24 hours?

Yes

Have you had a sunburn in the past 3 months?

Yes

Do you suffer from any respiratory problems?

Yes

Are you pregnant or breastfeeding?

Yes

Do you have any skin or pigmentation disorders?

Yes

Is your skin hypersensitive?

Yes

Do you have any known allergies?

Yes

Do you have any open cuts, wounds or rashes?

Yes

Have you recently had any body piercings or tattoos?

Yes

Have you had any recent Botox or fillers?

Yes

Are you currently taking accutane?

Yes

Do you use any Retinols or Active Acids (AHAs) on your skin?

Yes

Have you had any surgery or medical treatment in the last 3 months? If yes, please explain.

Tonic Tan Co recommends using finishing powder to absorb any excess moisture from your spray tan. (This is a complimentary service with your tan.) What scent do you prefer?

Would you like to add dry brushing ( $10.00 ) to your appointment? (Dry brushing prior to spray tanning allows the spray tan solution to absorb more evenly, by exfoliating dead skin cells leading to a more flawless spray tan. Dry brushing also improves circulation and promotes lymphatic drainage. Not recommended for sensitive skin.)

Yes

Do you give Tonic Tan Co permission to use photos of your tan for marketing purposes?

Yes

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 SPF. By checking the box I acknowledge these statements.

Disclaimer: I declare that I have read and understood and answered the questions to the best of my knowledge. I have no known medical conditions or allergies that may affect or induce a harmful reaction from a sunless tanning treatment. I also acknowledge the information provided in this form is for Tonic Tan Co. records only and will not be misused or passed on to any other third-parties.

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