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Summer's Dream Tanning Studio Release Form

Please complete the form prior to purchase

SUMMER’S DREAM TANNING STUDIO
Tanning Release, Consent & Safety Acknowledgment

You have agreed to participate in a series of light exposures to achieve tanning of your skin. To help us best classify your skin, please answer the following questions. Please select one of the following categories that best fits your skin condition:


Have you always burned and never tanned?
Have you most of the time burned and occasionally tanned?
Have you achieved a tan most of the time?
Have you always tanned and never burned?
If you have tanned in the past, do you tan easy?
Are you under medical care for your skin?
Are you allergic to the sun in any way?
Do you have dry skin?
Are you presently under a doctor's prescription for drugs or medication of any sort that could cause sensitivity to your skin?
If female, are you pregnant?
Do you wear contacts?

I acknowledge that I have read and understand the instructions for use and the manufacturer's instructions for use that were provided to me by

.. I further acknowledge that understand the above questions and have answered each question accurately and truthfully.

In consideration of the services to be provided by Summers Dream Tanning Studio LLC including, but not limited to, the use of tanning equipment, for my result, my heirs, executors, administrators, and as-signs, hereby release and forever discharge, its officers, direc-

tors, agents, employees, representatives, and successors thereof, from any and all actions, courses of action, claims and demands whatsoever, whether founded in factor in law, arising from or by reason of any injury suffered by me as a result of the performance of services by Summers Dream Tanning Studio LLC including use of tanning equipment and also including injuries from any act or failure to act on the part of Summers Dream Tanning Studio LLC , Its directors, agents, employees, or representatives. I hereby assume full responsibility for any and all injuries, including the use of tanning equipment.

I expressly agree that this release is intended to be as broad and inclusive as permitted by the laws of this state and that if any portion of this release is invalid, it is agreed that the balance shall, notwith-standing, continue in full legal effect. I understand that Summers Dream Tanning Studio LLC is relying on this release in agreeing to perform services, and I agree that this release shall be legally binding and that the terms of this release are contractual and not a mere recital.


Age Verification

Electronic Signature

Electronic Signature Agreement

By typing my full legal name below and submitting this form, I understand and agree that my typed name constitutes my electronic signature. I intend for this electronic signature to have the same force and effect as my handwritten signature.

Full Legal Name / Electronic Signature *

Date of Birth
Month
Day
Year
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