Layla’s Blush Room COVID-19 Liability Release Waiver

Due to the outbreak of the novel Coronavirus (COVID-19), Layla’s Blush Room is doing everything we can to protect you, our clients, our community and our staff. To this extent, Layla’s Blush Room will be following the Center of Disease-Control (CDC) and the Illinois Department of Public Health guidance with regard to social distancing practices and sanitation. We ask that our clients disclose their health history below.

I agree to the following: *

I, nor members of my household, have not experienced any of the symptoms listed below associated with COVID-19 within the last 14 days: fever, fatique, dry cough, difficulty breathing. I, nor members of my household, have not traveled internationally in the last 30 days. I, nor members of my household, have not traveled to a highly impacted area within the United States of America is the last 30 days. I, nor members of my household, do not believe that we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus (COVID-19). I, nor members of my household, have not been diagnosed with the Coronavirus (COVID-19) within the last 30 days. Laylas Blush Room staff cannot be held liable from any exposure to the Coronavirus (COVID-19) caused by misinformation on this form or the health history provided by each client. I affirm I am not experiencing symptoms of being ill to any degree or capacity including but not limited to sneezing, coughing, headaches, and/or all allergy related symptoms. I understand the risk associated with entering a facility where guests are serviced and the risk of exposure to illnesses including but not limited to Coronavirus otherwise known as Covid-19. I agree to contact the studio should I develop symptoms within 14 days of visiting the studio to prevent further spread.

Layla's Blush Room is following these enhanced procedures to prevent the spread of the Coronavirus (COVID-19)

-All Layla's Blush Room staff will wear face mask through entire service.

-All clients must wear a mask upon entering studio. Once eye makeup has been completed, client will only be be asked to remove mask to complete facial portion of makeup application.

-All clients will be asked to wash/sanitize their hands upon entering studio.

-We regret to inform no guests accompanying scheduled clients will be allowed to enter studio.

-Additional time will be scheduled in between client appointments to limit client contact.

-One complete full set of brushes will be used per face between clients. Makeup brushes and tools will not be used in between clients until they are cleaned and disinfected.

-All surfaces will be thoroughly cleaned with hospital grade disinfectant before and after each client, according to the manufacturer’s directions.

By signing below, I hereby release and agree to hold Layla's Blush Room harmless from and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damages or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Layla's Blush Room. I agree to release Laylas Blush Room from any and all liability for the unintentional exposure or harm due to the Coronavirus (COVID-19).

Failure to comply with these written instructions or verbal instructions will result in denying services.

Laylas Blush Room agrees to abide by these standards and affirms the same.

Date *

Date

Name

First Name Last Name

Email

example@example.com

Phone Number

Area Code Phone Number

Signature *

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