New Client Form Website

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Thank you for choosing Hawaiian Tan. Please fill out the following information in order to maintain an accurate account at our salons. Your account will be valid at both salon locations!

Note: Clients are required to have individual accounts however, packages can be shared!

First Name *

Last Name *

Date of Birth (must be 18 to UV Tan) *

YYYY

Email *

Phone Number

Address *

City *

State *

Zip Code *

Please Select Skin Type

Bright White/Burns Severely

White/Burns Easily

Fair/Tans Moderately

Light Brown/Tans Easily

Brown/Tans Substantially

Black/Rarely Burns

Required

Have you ever done indoor tanning before today?

Yes

Do you have or have had any form of Carcinoma (Cancer)?

Yes

Are You Taking any medications that cause sensitivity to sunlight? (More Information)
*

Yes

Other:

How did you hear about Hawaiian Tan?

Website

Friend

Social Media

Drive By

Employee

Clear selection

What service are you interested in? *

UV Tanning (Walk-in's Only)

Sunless Airbrush Tan (Appointment Required)

Skincare Products

Required

What are you tanning for?

Event

Vacation

Seasonal Depression

Skin Care

Other:

Clear selection

Clear form

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