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Covid-19 Health Consent

Notice and Acknowledgment of Risk

The World Health Organization has characterized the COVID-19 virus, also known as “Coronavirus”, as a pandemic. Our Salon wants to ensure that you are aware of the risks of exposure to COVID-19, associated with receiving salon services during this pandemic. 

COVID-19 is highly contagious and has a long incubation period. You or your stylist may have the virus, not show any symptoms and yet still be highly contagious. COVID-19 can result in life-threatening respiratory disease in some patients. You may be exposed to COVID-19 at any time or in any place. Due to the frequency and timing of visits by other clients, the characteristics of the virus and the characteristics of salon services, there is an elevated risk of you contracting the virus simply by being in the salon with other people.

To provide a safe environment for our clients and staff, this salon follows the applicable state and federal regulations and protocols for infection control, universal personal protection, and disinfection. However, due to the nature of the salon services we provide, it may or may not be possible to

maintain social distancing between clients, stylists

and staff at all times. 

Some stylists and staff in our salon will not be wearing protective face masks during your services. By signing below, you are acknowledging that you are aware of this and have knowledge that it can have the potential to expose you to COVID-19 during your salon visit. 

  You can choose to wear a protective mask over your mouth to reduce exposure during your salon services, but may be asked to remove it if you are receiving a lip wax treatment due to your stylist needing access to your mouth area to render services. This potentially leaves you vulnerable to COVID-19 transmission while receiving salon services. 

I acknowledge that I have read the Notice above and that I understand and accept that there is

an increased risk of COVID-19 exposure with salon services during the pandemic. 


I acknowledge that there may be stylists and staff in the salon that will not be wearing a protective face mask. 


I also acknowledge that I could, or may have, exposure to COVID-19 from outside this salon and unrelated to my visit here. 


I have read and understand all the information stated above: 

Thanks for submitting!

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