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PRIOR TO THE START OF MY SERVICE, I CONFIRM THAT:

Consent*

I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks.*

Consent*

I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks.*

Consent*

I have not traveled outside of my immediate daily routine for the past two weeks.*

Consent*

I do not have a cough, fever, chills, shortness of breath, or loss of taste or smell.*

Consent*

If I begin to show symptoms of COVID-19 within the next two weeks, I will contact my stylist.*

Consent*

I will follow all posted salon rules to keep myself, my stylist and those around me safe.*

Signature*

Name*

Email*

Phone Number

Date*

NAVIGATION