Client Health Questionnaire
Email address *
First and last name *
Phone number *
This waiver must be filled each time you visit the salon.
PRIOR TO THE START OF MY SERVICE, I CONFIRM THAT:
I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks *
I do not have a cough, fever, chills, shortness of breath or loss of taste or smell *
If I begin to show symptoms of COVID-19 within the next two weeks, I will contact Painless Waxing Boutique *
I will follow all posted salon rules to keep myself, my esthetician and those around me safe *
I agree not to hold Painless Waxing Boutique and my technician/service provider liable for my exposure to the COVID-19 or any other viral disease or other disease or disorders *
Please sign to certify your answers by typing your name below. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this agreement. By selecting 'submit' using any device, means or action, you are signing this agreement electronically and you consent to the legally binding terms and conditions of this agreement. *
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