Author: Tan
Company: Diversified Air

Todays Image Tanning
1836 East Joppa Road
Baltimore Md 21234
__________________________________________________________________________________________

Name______________________________________________________________________________________  

Address ___________________________________________________________________________________

City____________________________________ State _______________ Zip __________________________

Phone # _______________________ E Mail _____________________________________________________

 Date of Birth ___________________________

How did you hear about us? __________________________________________________________________

Read and sign the following precautions necessary before tanning:

1.A. A person who uses a tanning device in this tanning facility MUST USE EYE PROTECTION.
   B. If the provided eye protection is not worn, use of a tanning device in this facility may cause burns to the
        eyes.
   C. Overexposure to the ultraviolet radiation produced by the tanning devices in this facility may cause burns.
   D. Repeated exposure to the ultraviolet radiation produced by the tanning devices in this facility may cause
        premature aging of the skin and skin cancer.
   E. Abnormal skin sensitivity to the ultraviolet radiation or burning may be caused by certain foods, cosmetics,
       or medication, including the following:
       Tranquilizers, Diuretics, Antibiotics, High blood pressure medication, Birth control medication. Other
       photosensitizing agents.
   F. An individual who is taking a prescription drug or over-the-counter drug should consult a physician before
        using a tanning device.
 2.   I agree that I will comply with all instructions on the use of the UV system and that I am using these 
       services at my own risk.  I understand that credits and memberships are sold on a per person basis and are
        not sharable or transferable. 
                                                                                    
Mystic Tan

1) A Mystic Tan will not prevent your skin from burning in the natural sunlight or tanning bed. Please take proper 
    precautions when tanning in UV light exposure.
2) For best results, we recommend 2-3 sessions within 4-7 days to develop your desired color. Healthy, hydrated skin
    will hold results longer and achieve color faster.
3) For best results, wait up to 6 hours before bathing after using the Mystic Tan.  Use of undergarments is not
     recommended while doing the Mystic Tan as the DHA may permanently stain them.
4) If you have a history of asthma or respiratory condition that could be aggravated by the use of Mystic Tan , 
    please consult a physician before using it. If you have ever had any adverse effects utilizing self-tanning 
    products you will probably experience similar effects with Mystic Tan.
5) ALL SALES ARE FINAL. I understand that credits and memberships are sold on a per person basis and are
    not sharable or transferable. 

I agree to hold harmless Todays Image Tanning LLC and its employees and agents for any injury to person or 
property in any way by the use of its premises and services. In addition , they are not  liable for loss or theft
of any personal property. Each person is responsible for safeguarding his or her own property.
NO REFUNDS.

Signature________________________________________________ Date _________________________

             ****Please Note: Only 1 person is allowed in the tanning room at a time. ****
                ***Meaning NO children, friends or family are allowed back with you. ***