Precautionary Coronavirus Client Liability Release Form

Precautionary Coronavirus Client Liability Release Form

Due to the 2020 outbreak of the novel Coronavirus, COVID 19, City Magnolia Day Spa is taking extra precautions with the intake of each client, health history review, as well as sanitation and disinfecting practices. Please complete the following and sign below.
Symptoms of Covid 19 include:
I,
Name *

First Name Last Name
agree to the following: *
By signing below, I agree to each above statement and release City Magnolia and its employees from any and all liability for the unintentional exposure or harm due to Covid-19 and other communicable conditions.
Due to the unprecedented nature of the virus, contraindications for massage remain mostly unclear, however there is some information that suggests that if a client has had coronavirus, certain areas of the body should be more lightly massaged or should be avoided all-together. Therefore, out of an abundance of caution for your safety, your massage therapist/esthetician needs to be informed if you have had the Coronavirus, COVID 19. IF YOU HAVE HAD THE CORONAVIRUS, WE RESPECTFULLY ASK THAT YOU WAIT UNTIL ITS BEEN 30 DAYS SINCE YOUR DIAGNOSIS TO SCHEDULE AN APPOINTMENT.
Have you ever had the Coronavirus, COVID-19? *
Signature *
Date
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