COVID-19 Consent Form

Nails/Pedis Consent Form

Completed for every appointment.
Please make sure this form is submitted within 24 hours before your appointment. Before every appointment this form will need to be recompleted to ensure that it is up to date with the most recent information.

Without this form being completed before your appointment, your treatment will be unable to go ahead and will be cancelled without notice. All information IS confidential and protected.
Name

First NameLast Name
Phone Number

Area CodePhone Number
By checking all the boxes, you confirm that you agree with the following statements:
By signing below, I confirm that I understand and agree to all terms and statements in this form.

I agree not to visit the salon for any services provided if I have any symptoms of any contagious diseases or illnesses. I acknowledge that the information that I have given in this consent form is accurate and complete.

I agree for my information to be used for track and trace to help stop transmition of any illnesses.
Customer's Signature
Date Signed:

MonthDayYear
Date
Should be Empty:

Nails/Pedis Consent Form