Covid 19 Release of Liability Acknowledgement

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**Acknowledgment Required Prior to Every Scheduled Appointment**
Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), Presh Hair Boutique Salon is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfection procedures in accordance with the CDC and California Regulations.

Symptoms of COVID-19 include:

*Fever
*Fatigue
*Dry Cough
*Difficulty Breathing
*Loss of Taste and or Smell
*Diarrhea
*Runny Nose
*Sore Throat

Email *

Hi Gorgeous!!

Have you been Vaccinated? *

Partially

Fully

Other:

Required

I agree to the following: *

I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above WITHIN THE LAST 14 DAYS.

I affirm that I, as well as all household members, have not been diagnosed with COVID-19 WITHIN THE PAST 14 DAYS.

I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 14 DAYS.

I understand that Presh Hair Boutique cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

I understand that I am required to wear a mask upon entering the salon, and required to wear the mask during the time I am at Presh Hair Boutique Salon. If I refuse to wear a mask, I will be asked to leave and there will be a full charge for the cost of my appointment. If I am unable to wear a mask due to a health condition, I will be required to reschedule an appointment. There are masks available for purchase if I need, or I may wear my own.

Required

Presh Hair Boutique Salon is following these enhanced procedures to prevent the spread of COVID-19. Things are changing rapidly and we will do our best to update you on our website: www.preshhairboutique.com *

Additional time included between appointments to prevent client contact with each other and a one-way traffic path. Guests accompanying those scheduled for services are no longer offered. Each client is required to wear a mask. Each client is required to sanitize hands upon arrival and before leaving. Your service provider will wear a clean cloth mask or face shield and an apron. Service provider wearing a face shield is approved for medical reasons, and you will be made aware before your appointment. All product bottles used during the service will be placed on the trolley for disinfection, and disposable items will be used when possible. All surfaces will be wiped thoroughly with hospital-grade disinfectant before and after each client according to the manufacturer's directions. There is no indoor waiting area available. Please wait for us to text you to come inside. We will contact you if your provider is running behind. No beverages or magazines will be offered, but clients may bring in their own covered beverage. If you have any questions comments or concerns regarding any of this information; please tell/ask.

I AGREE to each statement above and release Presh Hair Boutique from any and all liability for the unintentional exposure or harm due to COVID-19.

Required

Today's Date *

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Name *

Phone Number *

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