New Customer Registration Form

Bronzed Spray Tan and Esthetics Access System Registration Form
Purpose of the Form:

This form is designed to grant safe access to the self serve spray tan machine during extended hours and weekends. To ensure that only authorized individuals can access the space during the extended hours, an ID must be provided on file. This helps confirm the identity of those permitted access.

Please note that your information will remain confidential, except in the event of an incident that necessitates disclosure.

After approval, you will receive a text message that provides the next steps for configuring phone to serve as your access key.

Hours are 7am-9pm everyday
Customer Details:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Upload a clear photo of your State ID

Cancelof
Upload a clear photo of yourself holding your state ID

Cancelof
Do you want to set up a time to be introduced to the spray tan machine and spray tanning process?
Questions:
Should be Empty:

Bronzed Spray Tan and Esthetics Access System Registration Form