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Hair Appointment Intake Form
Sydni Fox @ The Lighthouse Salon
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Name:
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address
Your answer
What is your biggest concern about your hair and what's the number one thing you would like to begin focusing on?
Your answer
:Covid-19 Release Form:
Please answer all questions below
I verify that I have not traveled by plane in the past 14 days and have been social distancing.
*
yes
no
I confirm that I am not presenting any of the following symptoms : Fever, dry cough, loss of taste or sense of smell, sore throat or shortness of breath.
*
yes
no
To help protect each other, I understand that I will have to follow the salon’s strict guidelines of social distancing whenever possible and wear a mask throughout my service.
*
I understand
By checking the box below I am confirming my answers are truthful
*
yes
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