Covid-19 Wavier

Consent Wavier

COVID-19 Pandemic Peony House Beauty Consent Form. Please complete & submit this form before your scheduled appointment
By signing your name you consent to knowingly and willingly have service(s) during the COVID-19 pandemic.

First NameLast Name
Email
example@example.com
I understand the COVID-19 virus has a long incubating 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 that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of hair services, that I have an elevated risk of contracting the virus simply by being in the salon.
I confirm that I am not presenting any of the following symptoms of COVID-19: Temperature above 98.7, shortness of breath, loss of sense of taste or smell, dry cough or, sore throat.
I confirm that if I present symptoms between now and my appointment that I will cancel. I also understand that I can be denied service if I show up with symptoms.
I confirm that I have not been around anyone with these symptoms in the past 14 days.
I do not live with anyone who is sick or quarantined.
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.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And I understand that the CDC, OSHA and "STATE" Board of Cosmetology and Barbers recommend social distancing of at least 6 feet.
I verify that I have not traveled outside the United States in the past 14 days to countries that have been affected by COVID-19.
I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days.
I confirm that Peony House Beauty and Hannah Johnson are released from any liability related to Covid-19.
Today's date, confirming you have read & answered the above truthfully and understand that you will have to follow the salon’s strict guidelines upon your appointment.

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Consent Wavier