COVID-19 Liability Waiver

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Following questions will be asked to all individuals entering the building.

Full Name of Individual *

Phone Number *

Email *

Due to the outbreak of the Corona Virus, we will be taking extra precautions with the intake of each client. Seniors and those with pre-existing conditions are urged to stay home and continue a high level of social distancing.Please read and complete the following and sign below.

Symptoms of COVID-19 include but are not limited to:
• Fever
• Fatigue
• Dry Cough
• Difficulty breathing

I understand the above symptoms and acknowledge that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above, within the last 14 days. *

Yes

Required

I acknowledge that I, as well as all household members, have not been diagnosed with COVID-19. *

Yes

Required

I acknowledge that I, as well as all household members, have not traveled outside of the country or to another state that is considered a "hot spot"for COVID-19, within the last 30 days. *

Yes

Required

I understand that Sky One Nails and its staff, cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form by health history provided by myself; the client. *

Yes

Required

I voluntarily seek services provided by Sky One Nails and acknowledge that I am increasing my risk to exposure to COVID-19 by doing so. *

Yes

Required

I acknowledge that I must comply with all set procedures and policies to reduce the spread while attending my appointment, failure to do so will result in cancellation of service *

Yes

Required

By signing below, I agree to each above statement and release Sky One Nails and its staff from any and all liability for the unintentional exposure or harm due to COVID-19.This business, Sky One Nails and its staff, agree that they abide by these standards and affirms the same. Sky One Nails also affirms, that we have improved and expanded the sanitation protocols to thoroughly help fight the spread of COVID-19 and other communicable conditions *

Record temperature scanned by staff *

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