Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First & Last Name *FirstLastAppointment Date & TimeDateTimeWhat is the length of your tanning session in minutes? (Cannot exceed 12 minutes.) *Health & Medication Disclosure *I confirm that there have been no changes to my medical history since my last visit.Protective Eyewear Agreement *I confirm that I will wear protective eyewear during my tanning session. & Agreement Appointment Release & Waiver of Liability *I voluntarily assume all risks associated with tanning. I release and hold harmless POPPY SALON, its owners, employees, and affiliates from any claims, damages, or injuries resulting from my use of tanning equipment, except in cases of gross negligence.Date of Agreement *Consent & Digital Signature *By typing my full name above, I acknowledge that I have read, understand, and agree to this consent and waiver.Submit
