• Eyelash Extensions Service Consent Form for COVID-19

  • Due to 2019-2020 outbreaks of the coronavirus COVID-19, we are 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. 

  • I, (Client Name), confirm that I am not presenting any of the following symptoms of COVID-19 listed below:

    I agree to the following:

    I understand the above symptoms and affirm that I. As well as household members, do not currently have, not have experienced the symptoms listed above within the 14 days.
    I affirm that I, as well as household members, have not been diagnosed with COVID-19 within the last 30 days.
    I understand the COVID-19 virus has a ling incubation period during which carriers of the virus may not show symptoms & still be highly contagious.
    I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristic of these services that I have an elevated risk of contacting the virus simply by being in the establishment.
    To prevent the spread of the contagious virus and to help protect each other, I understand that I must follow the establishment’s guidelines.

    • Reschedule appointment if you are feeling unwell.
    • No additional guest is allowed.
    • Wearing a mask is required upon arrival and during the entire procedure.
    • Wash hands up on arrival.
    • Limit conversation during procedure.

    I, knowing and willing consent to have eyelash service during the pandemic and will not hold (Salon Name ) or anyone working for the establishment, liable for the possibility of contacting COVID-19.

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