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Mississippi Agreement and Release Form for Tanning Facility Use

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AGREEMENT AND RELEASE FORM FOR TANNING FACILITY USE

NOTICE TO THE CONSUMER: DO NOT SIGN THIS CONTRACT UNTIL YOU HAVE READ ALL OF IT. ALSO, DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.

This Agreement is made and entered into this the day of by and between (hereinafter “Company”) and (hereinafter “Customer”) and is subject to the following terms and conditions:

1. Non-transferable. Customer agrees that the rights granted to Customer hereunder may not be transferred, assigned or conveyed to any other person.

2. Term. The term of this Agreement shall extend for a period of months beginning on the day of . This agreement shall automatically be extended on a monthly basis unless terminated by Customer or Company. After the initial term, this agreement may be cancelled by Customer or Company upon 30 days notice.

3. Consideration. In full consideration of a monthly payment of $ by Customer and subject to the other terms and conditions of this Agreement, Company shall provide access and allow unlimited visits by Customer to use the tanning facilities operated by Company at Mississippi.

4. Independent Advice. Customer represents and warrants that he/she has been advised that exposure to tanning devices carries certain health risks and potential side effects. Customer further represents and warrants that he/she has had the opportunity to seek independent medical or other advice about the risks associated with indoor suntanning and exposure to tanning devices prior to signing this Agreement.

5. Release and Indemnity. Customer hereby releases, discharges and indemnifies Company, its successors, agents, assigns, employees and representatives from any and all claims, demands, damages, actions or suits of any kind whatsoever and including but not limited to the causation, exacerbation or increase in risk of any adverse health condition, whether known or unknown, as a direct or indirect result of Customer's use of tanning equipment and facilities furnished by Company.

6. Rules and Regulations. Customers agrees to abide by all rules and regulations that may from time to time by adopted by Company governing the use of the tanning facilities of Company.

7. Entirety. This instrument supersedes any prior negotiations, discussions or agreements and sets forth the entire agreement between the parties with respect to this subject matter. No modification shall be binding unless confirmed by a written instrument signed by both parties.

8. Applicable Law. The parties hereto agree that this Agreement is to be enforced and construed according to the laws of the State of Mississippi and, in the event that any portion of this Agreement is set aside by a court of competent jurisdiction, the balance shall remain in full force and effect to the extent feasible.

9. Cancellation. IF WITHIN FIVE(5) BUSINESS DAYS YOU DECIDE YOU DO NOT WISH TO REMAIN A MEMBER OF THIS HEALTH SPA, YOU MAY CANCEL THIS AGREEMENT BY MAILING A NOTICE TO THE HEALTH SPA BY MIDNIGHT OF THE FIFTH BUSINESS DAY FOLLOWING YOUR PURCHASE OF THE CONTRACT STATING YOUR DESIRE TO CANCEL THIS CONTRACT. THE WRITTEN NOTICE SHOULD BE MAILED TO THE FOLLOWING ADDRESS:

10. Disability or Death. If, by reason or death or disability, Customer is unable to use the facilities of Company, Customer and his or her estate shall be relieved of the obligation of making payments for such services other than those received prior to death or the onset of the disability. If Customer has prepaid any sum for health spa services, the unexpired portion shall be promptly refunded to Customer or his or her representative.

WITNESS OUR SIGNATURES, the day and date first above written.

Customer Information

Enter text

What this Mississippi Agreement and Release Form for Tanning Facility Use is

The Mississippi Agreement and Release Form for Tanning Facility Use is a liability waiver and informed-consent document used by tanning businesses to record a customer’s acknowledgement of health risks, disclosures of relevant medical conditions and consent to receive tanning services. It typically identifies the facility and customer, lists known risks and contraindications, requires skin-type and medication disclosures, and documents signature and date. For minors it includes parental or guardian consent language and age verification. The form also states governing law and assigns responsibility for following operator instructions and posted safety limits.

Why a clear release form matters for your tanning facility

A well-drafted release clarifies customer consent, reduces ambiguity about assumed risks, and documents medical disclosures that affect safe operation. It helps facilities enforce safety rules and demonstrate informed consent if a dispute arises. When combined with proper intake procedures and record retention, the form reduces operational and liability uncertainty without removing legal duties to operate safely.

Why a clear release form matters for your tanning facility

Who completes this form and where it’s used

Keep signed originals in the client file and provide a copy to the customer; update the form whenever medical facts or state rules change.

  • Facility owners and front-desk staff who register clients and verify age and disclosures for each session or membership.
  • Technicians and operators who must confirm the client has read safety instructions and understand exposure limits for the equipment used.
  • Parents or guardians providing written consent for minors and medical professionals when a client reports relevant health conditions.

Step-by-step: completing the release at the facility

Follow this sequence when onboarding a new client or updating an existing client file to ensure legal clarity and safety compliance.

  • 01
    Provide the form: Give the client the most recent release before any tanning session.
  • 02
    Confirm identity: Verify name and DOB against ID when required by policy.
  • 03
    Review disclosures: Ask about medications, skin issues, or recent procedures that increase risk.
  • 04
    Sign and retain: Obtain signature, date, and store the signed copy in the client record.

Core clauses and provisions to include in a professional release

A comprehensive tanning release balances clear risk disclosure with operational instructions. Include clauses that are specific, time-bound, and consistent with state law.

Risk Acknowledgment

Describe acute and chronic risks including burns, skin aging, photosensitivity, and increased cancer risk so clients can meaningfully consent.

Medical Disclosure Warranty

Require customers to truthfully disclose medications, medical conditions, and recent procedures that could increase photosensitivity or injury risk.

Assumption of Risk

State that the signer assumes known risks and agrees to follow operator instructions and posted exposure schedules.

Parental Consent for Minors

Specify age thresholds, require parent/guardian signature, and include ID verification steps where state law applies.

Release and Indemnity

Limit facility liability for ordinary negligence where permitted, and include indemnification for third-party claims arising from false disclosures.

Governing Law and Venue

Identify the governing state law and preferred venue for disputes; typically the state where the facility is located.

Security and compliance considerations for handling signed releases

Encryption: TLS 1.2/1.3, AES-256 at rest
Audit Trail: Timestamps, IP, action history
HIPAA Support: BAA available on request
Access Controls: Role-based user permissions
Retention Policy: Configurable secure storage
Formats Supported: PDF, DOCX, HTML

Risks and consequences of an incomplete or incorrect release

Invalid Release: May be unenforceable
Civil Liability: Allows claimant lawsuits
Regulatory Fines: State penalties possible
Insurance Exposure: Claims may increase premiums
Health Harm: Unreported conditions increase risk
Reputational Damage: Public disputes harm business

Common mistakes operators and clients make

  • Not updating the form after a customer reports new medications or medical procedures, which can leave operators without current medical disclosures.
  • Failing to verify age or obtain parental consent for minors, resulting in noncompliance with state laws and increased liability.
  • Using vague language about risks or consideration amounts; unclear terms make the release harder to enforce in court.
  • Storing only unsigned or poorly dated copies; incomplete recordkeeping impairs defense in disputes and regulatory reviews.

Where completed releases are kept and how they move through your process

A consistent routing plan ensures access to signed releases for staff, auditors, and legal counsel while preserving privacy.

  • Facility Record: Store original signed release in the client file onsite or in secure cloud storage.
  • Customer Copy: Provide a printed or emailed copy immediately after signing.
  • Digital Archive: Upload completed forms to a secure document system with audit logging.
  • Legal Access: Maintain a retrieval process for counsel or regulators on request.

How to share and accept the form electronically

Log delivery and completion events in your system and retain copies according to retention policies and legal requirements.

  • Email Link: Send a secure signing link with optional authentication
  • In-Person Tablet: Collect signatures on a facility device for immediate verification
  • Remote Notarization: Use RON where notarization is required and allowed

Basic online workflow settings to configure

Configure these settings to streamline online completion and reduce errors when sending releases for signature.

Field Configuration
Authentication Email link or SMS code
Required Fields Make DOB, disclosures, and signature mandatory
Auto-Reminders Enable reminders for unsigned forms
Storage Encrypted cloud archive with audit trail

Typical eSignature vendor pricing and capability snapshot

Compare common vendor starting prices and feature flags relevant to signing releases. signNow is listed first per vendor comparison guidance.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Verify Verify Verify Verify
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Verify Verify Verify

Practical tips to reduce risk and streamline processing

Adopt clear policies and technology to make consent reliable and records retrievable while protecting client privacy.

Use clear, plain-language disclosures
Write risk descriptions in plain language, avoid legalese, and highlight critical contraindications so clients understand health implications.
Verify age and identity
Check government ID for minors or where required; document verification steps to support legal compliance and reduce disputes.
Keep an auditable trail
Record timestamps, signer IP, and any authentication methods used to strengthen enforceability of electronic signatures.
Review periodically
Have counsel review the template annually or after regulatory changes to ensure ongoing compliance and clarity.

FAQs and troubleshooting for completing and managing the release

Answers to common operational and legal questions about execution, storage, and enforceability of tanning release forms.


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