SBS Salon / CV-19 Safe Salon Client Waiver

By completing and submitting this form, you are knowingly and willingly consenting to having beauty and or barber care services performed during the COVID-19 Pandemic and you agree to adhere to all safety and sanitation protocols now required by the salon and or shops' service provider.
Email address *
Full Name *
Contact Cell/Phone Number *
I am aware that due to limited testing for the COVID-19, the virus has a long incubation period during which time carriers of the virus may be asymptomatic (no symptoms) and still be highly contagious. I also acknowledge that it is impossible to determine who has it . *
I also acknowledge that I understand that anytime I am within close proximity (less than 6ft) of my service provider or any other person, I could have an elevated risk of contracting the virus should it be present. *
I confirm that none of the following COVID-19 symptoms have been present within the last 2-14 days: Fever, Shortness of Breadth, Loss of taste or smell, Dry Cough, Runny Nose, Sore Throat, Chills, Repeated Shaking with Chills, Muscle Pain or Head Ache, Loss of Taste or Smell *
I affirm that I have not been exposed to anyone that has been diagnosed with COVID-19 within the past 14 days inside or outside of the country I reside in. *
I affirm that I have not traveled domestically (outside of my state) or internationally (outside of my country) within the past 14 days. *
I agree to wear a mask and follow all the protocols that Styles by Santone has in place for everyone's safety and health. *
Insert any information that you want to share with us at Styles by Santone.
I agree to review the panel at entry explaining all the details of the changes that will be taking place at SBS *
I agree by providing my name below, I am in essence rendering my signature in acknowledgement of the completed statements on this form and that all information is accurate as of the date of this form. *
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