How did you find out about Kiy?    Please Select Skills n’ PotionsInstagram(hashtag)Stamped MarketingReturning clientClient referred InstagramGooglePintrestYoutubeOther *    
Would you like to purchase a cuticle oil pen    Yes     No *  *   
Are you comfortable with being recorded; social media purposes    Yes     No * * If you have answered yes, what is your instagram handle    @ *  

Covid, Monkey Pox/ Poxvirus Health Form:

Please scroll down (Person(s) MUST agree and fill out the form below collectively, including next slide) AGREE TO THE TERMS BELOW AND NEXT SLIDE)
This is a required form for you to fill out do to Covid-19, Monkey Pox and CDC Guidelines.

The following CDC & Icey LLC Quarantine requirements are:
- Covid-19: 14 day and/or negative covid test
- Monkey Pox: 30 days, MUST have a verified doctors note that you are clear/ negative & non-contagious

Checking the boxes, you Agree & Understand my policy and guidelines  
To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow Kiy's strict guidelines. I knowingly and willingly consent to having salon service(s) during the COVID-19 pandemic. *    
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 give the current limits in virus testing *   
I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristic of nail treatments, that I have an elevated risk of contracting the virus by being in a salon. *        Dog Allergies? *    
I have knowledge that a small dog will be present during my service duration *    
Please select all that applies
STDs     Aids     Pregnant     Blood Thinner Medication     Nail Infection     Diabetic     Seasonal Allergies     Dust Allergies     Other     None of the Above *                
 Do to health reasons select the following if applied to you.
Fever     Aching Body     Enlarged Lymph Nodes     Red bump, rash on hands, feet, face, mouth, and/or genitals     Blisters     Open puss wounds     Peeling of the skin     Scabs     Bleeding/ oozing pimples     None of the above *    
I note that I do not currently have or have tested negative for the follow symptoms for Monkey Post Above.
I understand, read, and completed this questionnaire truthfully. I agree that this contributes 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.                

Terms & Conditions

 By booking your appointment, I agree with all policies associated with Icey Kiy; this includes the following: Deposits, Cancelations, cancellation fees, emergency appointment fs, Etc. 


In the rare event and unforeseen event the appointment is cancelled, we will arrange for alternative dates to guarantee appointment redemption. 
*NOTE: Kiy has the right to change her policy/terms at anytime
  
I have read and understand Kiy’s Booking Policy displayed on previous side *       

 Your payment will be due upon approval through text from Kiy. Payment invoice forms include:

• Credit / Debit Card
• ACH Bank
• Cash App Pay
• Afterpay

please screenshot this information on this slide as you will need this later for payment.

If you have any questions or concerns please contact Kiy directly via email (info@iceyk.com) or text only (757)262-3151

Response window: 9am -6pm from Tuesday - Friday.

holidays may vary