I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other
public health authorities still recommend practicing social distancing. I further acknowledge
that the business cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I
understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may
result from the actions, omissions, or negligence of myself and others, including, but not limited
to, salon staff, and other salon clients and their families. I voluntarily seek services and
acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that
I must comply with all set procedures to reduce the spread while attending my appointment. I
attest that:
I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty
breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or
new loss of taste or smell.
I have not traveled internationally within the last 14 days.
I have not traveled to a highly impacted area within the United States of America in the last 14
days.
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the
Coronavirus/COVID-19.
I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by
state or local public health authorities.
I am following all CDC recommended guidelines as much as possible and limiting my exposure to
the Coronavirus/COVID-19. I hereby release and agree to hold this business harmless from,
and waive on behalf of myself, my heirs, and any personal representatives any and all causes of
action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself
and/or property that may be caused by any act, or failure to act of the salon, or that may
otherwise arise in any way in connection with any services received. I understand that this
release discharges this business from any liability or claim that I, my heirs, or any personal
representatives may have against the salon with respect to any bodily injury, illness, death,
medical treatment, or property damage that may arise from, or in connection to, any services
received from this business. This liability waiver and release extends to the salon together
with all owners, partners, and employees.