COVID-19 Liability Release Waiver

Date of Appointment *

Date Hour Minutes AM/PM Option

Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), Lucero Artistry is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfection procedures in accordance with the New York Department of Professional and Occupational Regulation guidance.

COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving,
but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and
potentially life threatening illness and even death.

Symptoms of COVID-19 include:

Fever
Fatique / Body Aches
Dry Cough
Difficulty Breathing

I agree to the following: *

I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above WITHIN THE LAST 14 DAYS. I affirm that I, as well as all household members, have not been diagnosed with COVID-19 WITHIN THE PAST 30 DAYS. I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 DAYS. I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 30 DAYS. I understand that Aida Lucero and Lucero Artistry cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

Lucero Artistry is following these enhanced procedures to prevent the spread of COVID-19:

Prepayment for services available if clients prefer contactless checkout

Additional time included between appointments to prevent client contact with each other

There will be a limited amount of clients that will be attended to in a day

Additional time included between appointments to prevent client contact with each other

Guests accompanying those scheduled for services is discouraged. No guests will be allowed to appointments until further notice.

Each client required to wash hands upon arrival and before leaving

Your makeup artist will thoroughly wash and sanitize hands before and after each appointment

Your makeup artist will wear a clean cloth mask for each appointment

All skincare product bottles used during treatment will be placed on the trolley for disinfection and disposable items will be used when possible

All surfaces will be wiped thoroughly with hospital grade disinfectant before and after each client according to the manufacturer's directions

WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against
Lucero Artistry and its owners, officers, directors, managers, officials, trustees, agents, employees, or
other representatives in connection with exposure, infection, and/or spread of COVID-19 related to
utilizing [name of company]’s services and premises. I understand that this waiver means I give up my right
to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

By signing below, I agree to each statement above and release Aida Lucero and Lucero Artistry from any and all liability for the unintentional exposure or harm due to COVID-19.

I understand and agree that the law of the State of NY will apply to this contract.

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE,
AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING
LIABILITY AS DESCRIBED ABOVE:

Aida Lucero agrees to abide by these standards and affirms the same.

Name *

First Name Last Name

Email *

example@example.com

Date *

Date

Signature *

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