Hair and Makeup Release

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REQUEST INFORMATION

In connection with my participation on a photograph or video for Regent University (“Regent”), I give my permission for Regent to provide to me hair and/or makeup services (the “Services”).
I further agree and acknowledge as follows:
1. I will comply with all directions of Regent staff before, during, or after participation in the Program.
2. I understand that Regent will use a variety of products and chemicals in providing the Services that could cause irritation or other conditions. I will advise Regent of any allergies or sensitivities that I have. I shall report to Regent any skin condition including dehydrated and, if need be, a pre-arranged trial or sample test of makeup may be performed on the skin to test reaction. I hereby release Regent, its officers, directors, employees and contractors from liability for any skin complications due to allergic or rare reactions. It is the responsibility of client to provide special makeup or products which they require for allergy reasons or sanitation purposes/needs.
3. I will not hold Regent responsible for the use of any products which may result in injury, loss of or damage to personal effects, or for any illness and/or accident to me.
4. I hereby grant to Regent the right and permission to use and publish photographs or videos of me for the purpose of the Program.
5. This Release and Waiver shall be construed under the laws of the Commonwealth of Virginia, and I agree to submit any claims hereunder or otherwise arising out of the Program to binding arbitration in Virginia Beach, Virginia, under the rules of the American Arbitration Association. Each party shall bear its own expenses in such arbitration.
AGREEMENT: By signing this Electronic Signature Acknowledgement Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
Participant's First and Last Name*
Date*
MM slash DD slash YYYY
Email*
Enter Email Confirm Email
FOR CHILDREN UNDER THE AGE OF 18
I do hereby give my permission and consent for my child(ren) to participate in the Program and agree to be fully bound by the terms and conditions of this Agreement on behalf of myself/ourselves as his/her parent(s)/guardian(s). I/we agree that the provisions of this Agreement, including, but not limited to, the provisions relating to the release, indemnification and holding harmless of Regent University and its agents, employees, board, and faculty are applicable to me/us and that I/we are bound thereby. I/we further acknowledge that my child is covered by adequate medical and/or accident insurance. I/we further agree to indemnify and hold Regent University harmless from and against any claims asserted by my/our child. No oral representations, statements or inducements have been made to me/us with regard to this Agreement or the Program.
Parent/guardian name
Relationship
Date
MM slash DD slash YYYY
Parent/guardian name
Relationship
Date
MM slash DD slash YYYY
AGREEMENT:*
- I have read this entire Agreement. I fully understand it, and I agree to be legally bound by it. No oral representations, statements or inducements have been made with regard to this Agreement or the Program.