By submitting I hereby confirm that the information I have given above is true to the best of my knowledge. I understand my personal information will be kept confidential.
I understand the above symptoms and I affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 30 day's.
I affirm that I, as well as all household members, have not been diagnosed with covid-19 in the last 30 day's.
I affirm that I, as well as all household members, have not knowignly been exposed to anyone diagnosed with covid-19 within the last 30 day's.
I affirm that I, as well as all household members, have not traveled in or outside of the country or by plane within the last 30 day's.
I understand that this business and my stylist/lash artist cannot be held liable for any exposure to the virus or anyother contagion caused by misinformation on this form or health history provided by each client.
I understand that my stylist/lash artist is following all precautions and disinfection practices but due to the nature of this virus that it doesn't mean I cannot contract the virus but that it will greatly reduce my chance of it, being that it is an airborne virus.
By signging below I agree to each above statement and release Nekesa's Natural Radiance Hair Loft from any and all liability for the unintentional exposure or harm due to covid-19.
I also understand the salon has the right to refuse service to any client's at anytime, for any reason if they feel there is a risk involved.