COVID-19 Pandemic Beauty Treatment Consent Form
Name
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First Name
Last Name
Date
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I knowingly and willingly consent to having Beauty and Massage service(s) during the COVID-19 pandemic.
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by checking this box I understand and accept this statement.
To prevent the spread of contagious viruses and to help protect each other, I understand that i will have to follow the salon's strict guidelines
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by checking this box I understand and accept this statement.
I understand that by not maintaining social distancing rules I may of increased my risk of contracting the virus. I can confirm that to the best of my knowledge I have maintained the recommended social distancing guidelines
by checking this box I understand and accept this statement. By leaving this box empty you are confirming you have not been able to socially distance.
I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of beauty/massage services, that I have elevated the risk of contracting the virus by merely being in the salon enviroment.
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by checking this box I understand and accept this statement.
I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it, and who does not. I understand i may be contacted by track and trace if another TFM client tests positive.
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by checking this box I understand and accept this statement.
I verify that I have not traveled outside the United Kingdom in the past 14 days to countries that have been affected by COVID-19
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NO I have not
YES I have
In-salon Symptoms Policy
I agree not to come to the salon with the following symptoms of COVID-19 listed below: Fever- Temperature Shortness of breath Loss of sense of taste or smell Dry cough Runny nose Sore throat
I understand, read, and completed this questionnaire truthfully. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I understand that this document is to provide the best possible guest experience when visiting Time for Me beauty salon
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Yes
Signature
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Name
First Name
Last Name
Time for Me
88 Roberts Street, Wellingborough,
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