New Client Consultation Form

COVID-19 Pandemic Salon Service Consent Form
Name *

First Name Last Name
Date *

Month Day Year
Name of stylists *

First Name
I knowingly and willingly consent to having hair and salon service(s) during the COVID-19 pandemic. *

by checking this box I understand and accept this statement.
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 *

by checking this box I understand and accept this statement.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. I know that the CDC, OSHA, and Georgia state board of cosmetology recommend social distancing of at least 6 feet. *

by checking this box I understand and accept this statement.
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 elevated the risk of contracting the virus by merely being in the salon company. *

by checking this box I understand and accept this statement.
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 *

YES NO
I confirm that I have or have not traveled domestically within the United States by commercial airline, bus or train within the past 14 days *

YES NO
In-salon Symptoms Policy

I agree not to come to the salon with the following symptoms of COVID-19 listed below: Fever- Temperature, Shortness of breath Loss of sense of taste or smell, Dry cough, Runny nose, or Sore throat.
I understand, read, and completed this questionnaire truthfully. I agree that this constitutes 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 when visiting Silk Bar salon *

Yes
Signature *

Clear
Should be Empty:

COVID-19 Pandemic Salon Service Consent Form

In-salon Symptoms Policy