Michelle's Hair Designs Consent Form
Email address *
I, (insert your FULL name in the textbox below), knowingly and willingly consent to have a hair service during the COVID-19 Pandemic. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not given the current limits in virus testing. *
To prevent the spread of contagious viruses and to help protect each other, I understand and will follow the salon’s strict guidelines. (Initial below) *
I understand that air travel increases the risk of contracting and transmitting the COVID-19 virus. I verify that I have not traveled outside of the United States in the past 14 days. I also verify that I have not traveled domestically within the United States by commercial airline within 14 days. (Initial below) *
I affirm that I, as well as all household members, have not been diagnosed with COVID-19 in the last 30 days. (Initial below) *
I affirm that I or other household members have not knowingly been exposed to anyone diagnosed with COVID-19. (Initial below) *
I confirm that I am not presenting any of the following symptoms of COVID-19 below and I am willing to have my temperature taken: Fever/Chills, shortness of breath or difficulty breathing, loss of sense of taste or smell, muscle pains, dry cough or sore throat. (Initial below) *
Michelle’s Hair Designs abides by the same standards listed above. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions. By signing below, I agree to each statement and release the hairstylist and business from any and all liability for unintentional exposure or harm due to COVID-19. (E-sign your FULL NAME below) *
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