Covid-19 Salon Services Consent Form

By submitting this form, you agree to have hair, skin, or body services during the pandemic.

Client Name
First Name
Last Name
By checking the boxes, you confirm that you agree with the following statements:
Do you have any of these symptoms? - cough, shortness of breath, high fever, muscle pain, body ache, nausea, loss of taste/smell
Within 14 days, have you been in contact with anyone that has COVID-19 symptoms or get infected?
Are you living with anyone that is get infected or quarantined due to COVID-19?

I agree not to visit the salon for any of the services provided if I have the symptoms of COVID-19. I acknowledge that the information I have given in this consent form is accurate and complete. By signing below, I confirm that I understand and agree to all terms and statements in this form.

Parent/Guardian Name (if applicable)
First Name
Last Name
Date