COVID-19 Service Waiver

GUEST NAME

Last Name

BEST EMAIL TO REACH YOU

example@example.com

DATE OF YOUR APPOINTMENT

Date

WILD OLIVE SALON LOCATION YOU WILL BE VISITING

Jacksonville Swansboro

WHAT BEST DESCRIBES HOW YOU FEEL ABOUT YOUR UPCOMING SALON VISIT

I'm looking Forward to "The Wild Olive Salon AVEDA Experience" I'm Excited But, I Want to Spend As Little Time As Possible in Public

1. HAVE YOU BEEN IN CLOSE CONTACT WITH ANY PERSON DIAGNOSED (confirmed by testing) WITH THE COVID-19 VIRUS IN THE LAST 14 DAYS

YES NO

2. HAVE YOU BEEN AROUND ANYONE THAT HAS HAD A FEVER, COUGH, SORE THROUT, MUSCLE ACHES OR SHORTNESS OF BREATH IN THE LAST 14 DAYS

YES NO

3. ARE YOU EXPERIENCING SEVER ACUTE LOWER RESPIRTORY ILLNESS (COUGH, SHORTNESS OF BREATH) AND FEVER

YES NO

4. I UNDERSTAND THAT IN ORDER TO RECEIVE A SALON SERVICE THAT I MUST WEAR A FACE MASK OR FACE SHIELD

I AGREE

RELEASE OF LIABLITY AND AGREEMENT NOT TO SUE, INDEMNIFICATION, HOLD HARMLESS, LIMITATION OF WARRANTY .

We all know that theses are uncertain times. The risks of COVID-19 are not well understood and there is controversy among the experts on how the virus can spread and difficulty in scientifically determining whether anyone has the virus at any moment in time.

In consideration for providing haircuts and color, by signing below you agree to accept all responsibility for the risk that you may contact COVID-19.

I agree that if I take any steps to make a claim for damages against Wild Olive Salon, it agents, employees or any other released parties arising out of my receipt of haircut or color services during my visit to Wild Olive Salon facilities, I shall be obligate to pay all attorney's fees and costs incurred as a result of such claim By signing this Agreement, I acknowledge that I am free to go to other salon's who may not require my agreement to accept responsibility for contacting Covid-19 and I chose to have haircut and color services at Wild Olive salon.

WILD OLIVE SALON RESERVES THE RIGHT TO TURN AWAY ANY GUEST THAT VISIBLY PRESENTS SYMPTOMS AS DESCRIBED ABOVE OR THAT HAS CHECKED YES TO ANY OF THE ABOVE QUESTIONS.

IN ADDITION, THE WILD OLIVE SALON TEAM IS SCREENED DAILY AT ARRIVIAL UTILIZING THE ABOVE PROTOCALS. ANYONE ANSWERING YES OR EXHIBITING SYMPTOMS WILL NOT BE ALLOWED INSIDE THE BUILDING OR AT WORK UNTIL THEY TEST NEGATIVE FOR COVID-19 OR ARE SYMPOTOM FREE

Date *

Date

SIGNATURE *

Clear

Wild Olive Salon Service Waiver

Signature Required Prior to Every Scheduled Appointment

SALON SERVICE PRE-SCREENING

GUEST LIABILITY RELEASE