155 Military Road, Lancaster, Ontario K0C-1N0


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Tanning Pass

Prepaid (Paid in Full)

  • Client's Information

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  • TANNING - Skin Type Analysis, Waiver & Release, Regulations

  • SKIN TYPE ANALYSIS


    The GOLDEN RULE of Smart Tanning is simple: Don't EVER sunburn!


    At Platinum Fitness & Supplements we are dedicated to helping you to avoid sunburn, whether tanning indoors or out. Determining your skin type will help you determine how much sunlight your skin can handle.


    Answer the following questions and add the corresponding scores assigned to your answers.

    When you have the total, match it to the Skin Type Chart below! It's that simple!

  • This Skin Type Analysis Form is based on information from THE INTERNATIONAL SMART TAN NETWORK.


    SCORE SKIN TYPE DESCRIPTION

    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.

    43 - 68 SKIN TYPE IV Skin is tolerant to sunlight.

    65 - 84 SKIN TYPE V Skin is brown. Very tolerant.

    85+ SKIN TYPE VI Skin is black. Extreme tolerance.

  • WAIVER & RELEASE

    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.

    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.

    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.

    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.

    REGULATIONS


    Must 18 years or older to use the tanning equipment

    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 CLIENT RELEASE AND INFORMED CONSENT FORM 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. Please wipe clean / sanitize tanning beds after each use.

    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.

    All tanners must follow smart tanning guidelines;

    Tanners must be age of majority in jurisdiction of residence (age of majority is 18 years for Ontario)

    Individuals with skin type #1 cannot tan

    Certified eyewear must be worn at all times

    Tanning sessions must be spaced at least 48 hours apart

    I have read and agree with all of the above.


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