• Pure Skin Makeup & Skincare Studio

    COVID-19 Pre-screening Form, Information & Liability Waiver
  • Please complete within 24 Hrs of your appointment only.

    (not the morning of your appointment or two days before, I need the form to be as accurate as possible within 24hrs of your scheduled appointment, thank you)
  •  -
  • Covid-19 is a highly contagious virus that spreads from person to person. In addition to long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduced the spread of this novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being infected.

  •  
  • Clear
  • Consent for Treatment

    I understand that, becuase esthetics involves maintained touch and close physical proximity over and extended period of time, there may be an elevated risk of disease transmission, incuding COVID-19. By signing this form, I acknowledge that I am aware of the risk involved from receiveing treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims relted thereto. I give my consent to receive treatment from this practitioner. 

     

  • Clear
  • Clear
  • Studio Guidelines 

    • All clients must wear a face mask to their scheduled appointment.
    • Shoes off upon entry.
    • Do not wear gloves into studio, upon entry, you must immediately wash and sanitize hands.  (no exceptions)
    • Please come alone.  No one other than the client receiving services will be allowed into the studio, unless it’s a minor in which case, parent must also follow social distancing, wear a mask and follow all guidelines outlined.
    • Please remain in your vehicle and text me when you have arrived.  Once I am ready for you I will text you back to enter the studio.
    • Please understand that your appointment may run a few minutes behind or be a little longer than usual. I am taking all precautions and incorporating even longer disinfecting protocols between each client and this may require extra time, therefore be patient. 
    • Do not bring any food, drinks or any extra item beyond what is absolutely necessary into the studio.  (upon entry, there will be a plastic bin you may put any belongings)
    • Do NOT come to the Studio if you or anyone you live with have been exposed to is self-isolating or displaying symptoms known to be consistent with Covid-19
  •  -  -
    Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own JotForm - It's free! Create your own JotForm