COVID-19 Consent Form

COVID-19 Pandemic Hair / Skin / Body Treatment Consent Form

Date *

I, knowingly and willingly consent to have skin / body service during the COVID-19 pandemic. *

First

Last

I understand the COVID-19 virus has a long incubation period during which carries of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not, given the current limits in virus testing. *

I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of skin services, that I have an elevated risk of contracting the virus simply by being in the spa. *

I confirm that I am not presenting any of the following symptoms of COVID-19: Temperature above 98.7 degrees, Shortness of breath, Loss of sense of taste or smell, Dry cough and/or Sore Throat. *

I confirm that I have not been around anyone with these symptoms in the past 14 days. *

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

I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus and I understand that the CDC, OSHA and Hawaii Board of Cosmetology and Barbers recommend social distancing of at least 6 feet. *

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

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

COVID-19 Consent Form

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