"“I took the pledge because I used tanning beds and was diagnosed with melanoma.” – Lauren Deconte
six flags

School Name

School Address

City State Zip

School Telephone

School Contact Name


Your Name (if different from above)

Your Title

Your Email

Please designate your peer leaders who will take on this project. Peer Leaders will receive a free Your Skin Is In T-Shirt! For each peer leader, specify their name, email, grade, and shirt size:

Peer Leader 1 Information
Peer Leader 2 Information
Peer Leader 3 Information
Peer Leader 4 Information
Peer Leader 5 Information
Limited number of shirts available. If you have more peer leaders who will like to organize Your Skin Is In at your school, please email with their name, email, grade, high school, and shirt size.

Method of Collecting Pledges (see below for At School information)

Has your school participated in the Your Skin Is In contest in the past?

Class (Grade) Class Size

Would you like additional materials to help you promote Your Skin Is In at your school? (If you select yes, you will be contacted by MFNE) There is no charge for materials and services.

Posters Speaker
Video UV Facial Scanner (what is this?)

Comments or Questions?

Collecting Pledges At School

If you prefer to have your classmates sign the Tanning Is Out Pledge at school instead of on-line just follow these steps:

1. Download the Form to print and make copies for your classmates to sign. Only one copy of the cover sheet is required. Get at least 70% of the students in any class or classes having a prom to read the facts of tanning and sign the Tanning Is Out Pledge.

2. Package up the completed pledges and send them to us with the completed Cover Sheet to arrive by 4/30/14. Send them to:

Melanoma Foundation New England
Community Agencies Building
111 Old Road to Nine Acre Corner
Concord, MA 01742
Attn: Amy Mason

Congratulations! That's all there is to it.