Makeup By Adele COVID-19 Liability Release Waiver

COVID-19 Liability Release Waiver

**Signature and Information Required Prior to Every Scheduled Appointment**
Due to the 2019-2020 outbreak of the Coronavirus (COVID-19), Makeup By Adele is taking extra precautions with the care of every guest to include a health history review and enhanced sanitation/disinfection procedures in accordance with the Local, State and CDC guidelines.

Symptoms of COVID-19 include:

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea
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 14 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 14 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 14 DAYS.I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of makeup services, that I have elevated the risk of contracting the virus by being in a public setting, such as studio space or event space and accept that risk.I understand the COVID-19 virus has a long incubation period, during which carriers of the virus may not show any symptoms and still be highly contagious. It is impossible to fully determine who is positive and who is not, given the current limits of screening on location and I accept the risk.
Makeup By Adele and/or my makeup artist are following these enhanced procedures to prevent the spread of COVID-19:
- Additional time included between appointments to sanitize service areas and to minimize guest contact.
- Increased distance between clients to adhere to safe social distancing guidelines.
- Each guest is required to wash or sanitize hands upon arrival.
- Your makeup artist will thoroughly wash and sanitize hands as often as possible
- Makeup By Adele and/or your makeup artist will be masked.
- All surfaces will be wiped thoroughly with hospital grade disinfectant before and after each client.
By signing below, I agree to each statement above and release Makeup By Adele and/or my makeup artist from any and all liability for the unintentional exposure or harm due to COVID-19. Makeup By Adele and/or my makeup artist agrees to abide by these standards and affirms the same.

I understand I may be asked to sign this form again, at the time of services rendered, should this form be signed more than 24 hours prior to the makeup application date/time.
Bride's First and Last Name and/or Event Name *

First NameLast Name
Client Name*

First NameLast Name
Parent/Guardian Name, if under 18*

First NameLast Name
Cell phone *

Area CodePhone Number
Date of Wedding or Event*

MonthDayYear
Date
Client Signature (+ Parent/Guardian Signature, if under 18) *

Clear
I confirm all of the above information to be true and agree to all terms and guidelines as listed above, and my agreement is in alternate of my signature.*

I agree and sign.
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