Precautionary Coronavirus Liability Release Form
Due to the 2019-2020 outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each guest we serve, and performing this required client screening, as well as additional sanitation and disinfecting practices. Please complete the following and sign below.

Symptoms of COVID-19 include........
*Fever
*Fatigue
*Dry Cough
*Difficulty Breathing
*Headaches
*Shortness of Breath
*Sore Throat


Email address *
First and Last Name: *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy