COVID-19 Pandemic Hair Treatment Consent Form
Name
*
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
County
Podtcode
Date
*
-
Month
-
Day
Year
Date Picker Icon
Name of Stylist for upcoming visit
*
Laura
Jessica
Name of stylists
*
First Name
I knowingly and willingly consent to having hair and salon service(s) during the COVID-19 pandemic.
*
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
*
by checking this box I understand and accept this statement.
I understand that my details will be stored and may be shared for contact tracing as required by the government
*
by checking this box I understand and accept this statement.
I verify that to the best of my knowledge, I have not been in contact with anybody showing symptoms of COVID-19
*
YES
NO
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 Envies salon
*
Yes
Signature
*
Submit
Should be Empty: