Brimhall & Allen COVID-19 Consent Form – Crown Royal Nails Lounge

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Brimhall & Allen COVID – 19 PANDEMIC CONSENT FORM:

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First Name

Last Name

Phone

Current Temperature

By checking this box I understand and accept this statement. *

I knowingly and willingly consent to have nail, eyelash, or eyebrow completed during the COVID-19 pandemicI understand I will be required to wear a mask at all times during my stay.To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the salon's strict guidelinesI understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And I understand that the CDC, OSHA and USA Board of Cosmetology and Barbers recommend social distancing of at least 6 feet.I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of nail treatments, that I have an elevated risk of contracting the virus simply by being in a salon.I understand the COVID-19 virus has a long incubation period during which carriers 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 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 within the past 14 days.I confirm that I am not presenting any of the following symptoms of COVID-19I understand, read, and completed this questionnaire truthfully. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I understand that this document is to provide the best possible guest experience when visiting

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