Statement of Health - Disclaimer
Please read and sign the following certification statement prior to the start of your service.
Email *
Today's Date *
MM
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DD
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YYYY
Arrival Time: *
Time
:
Name of Stylist/Barber Performing Service *
First Name *
Last Name *
I knowingly and willingly consent to hair hair and/or salon service(s) during the COVID-19 pandemic. *
Required
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. *
Required
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. I know that the CDC, OSHA, and New York State board of cosmetology recommend social distancing of at least 6 feet. *
Required
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. *
Required
I confirm that I have not traveled domestically within the United States by commercial airline, bus or train within the past 14 days. *
Required
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 JNR Salon and Day Spa. *
Electronic Signature *
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