COVID-19 PANDEMIC CONSENT FORM

I knowingly and willingly consent to having nail and salon service(s) during the COVID-19 pandemic.

Yes

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 give the current limits in virus testing.

Yes

I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of nail services, that I have elevated the risk of contracting the virus by merely being in the salon.

Yes

I confirm that I’m not presenting any of the following symptoms of COVID-19 listed below:

To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the salon’s strict guidelines.

Yes

I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And I understand the CDC, OSHA and California Department of Licensing and Regulations recommend social distancing of at least 6 feet.

Yes

I verify that I have not traveled outside of the United State in the past 14 days to countries that have been affected by COVID-19.

Yes

I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days.

Yes

I understand and accept all statements above.

Yes