• Cloudy Artistry Consent Form & COVID-19 Screening

    Please complete and submit this Consent Form & COVID-19 Screening. Forms must be submitted at least 24 hours before your appointment. Absent a submission, I reserve the right to cancel your appointment.

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  • Format: (000) 000-0000.
  • By checking the boxes, you confirm that you agree with the following statements:*

  • COVID-19 Screening

    All clients must be fully vaccinated for COVID-19. I will not book your appointment if you have not been vaccinated. This is a firm policy. It is unfair to expose me and my other clients to potential health risks. Thank you!
  • Are you fully vaccinated for COVID-19?*
  • Have you attended a large event (festival, rave, concert, etc.) within the last 14 days? (If you have, that's ok! Please provide a negative COVID-19 test result taken within 7 days of your appointment date. Your appointment will be cancelled/rescheduled if a negative test result is not provided.)*
  • Within the last 14 days, have you been in contact with anyone who has COVID-19 symptoms or has been infected? (If you have been exposed, please provide a negative COVID-19 test result taken within 7 days of your appointment date. Your appointment will be cancelled/rescheduled if a negative test result is not provided at least 3 days before your appointment.)*
  • Have you been diagnosed with COVID-19 within the last 14 days?*
  • Are you living with anyone that is infected or quarantined due to COVID-19?*

  • I agree not to go to my appointment for any of the services provided if:

    • I have not been vaccinated
    • I have symptoms of COVID-19
    • I have been exposed to COVID-19 and can not provide a negative test result to my lash artist

    I acknowledge that the information I have given in this consent form is accurate and complete. By signing below, I confirm that I understand and agree to all terms and statements in this form.

  • Date*
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