Covid Consent form

Covid 19 Salon Service Consent Form

By submitting this form you agree to have hair, skin, or body services, during the pandemic.

Name

Email

By checking the boxes, you confirm that you agree with the following statements:

I understand that I have a risk of contracting the virus during service. I agree to obey the rules of the salon during my appointment in orderto minimize the spread of viruses. I confirm that i have not been diagnosed with COVID-19 in the last 14 days. I verify that I am not waiting for laboratory test results for COVID-19

Do you have any of these symptoms ?
Cough,Shortness of breath, High fever, Muscle pain, Body ache, Nausea, Loss of Taste/smell?

Yes No

Within 14 days, have you been in contact with anyone that has COVID-19 symptoms or is infected?

Yes No

Are you living with anyone that is infected or quarantined due to COVID-19?

Yes No

I agree not to visit the salon for any of the services provided if I have symptoms of Covid-19.
I acknowledge that the information I have given in this consent form is accurate and complete.

By ticking below, I confirm that I understand and agree to all terms and statements in this statement

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Covid Consent form

Covid 19 Salon Service Consent Form

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