Loading...

We all know that these are uncertain times. The risks of (COVID-19) are not well understood, and there is controversy among the experts on how the virus can spread and difficulty in scientifically determining whether anyone has a virus at any moment in time.

We normally ALREADY have very high sanitation standards that are required by the health department due to the risks of the type service we offer, but on top of the state and health departments requirements, additional precautions for safety measures were added for our staff and the salon:

 

  • All clients and staff are required to wear a mask. 
  • All of our estheticians and microblading artists will be required to wear a face mask, face shield, disposable aprons while providing a service to our clients.
  • Our staff will be disinfecting and cleaning every room and restrooms after each client
  • To limit the number of people in the salon, no one will be allowed to wait in our front lobby.
  • Precautions/Safety Measures we require our clients to follow to help us keep a safe environment:
  • Clients will need to come alone unless your companion also has a service with us
  • Clients can only bring their phone, ID, credit card/cash into the salon. 
  • If you have any symptoms of sickness, we will turn down your service. Please try and reschedule 48 hours before your appointment if you are not feeling well.

Liability Release Form

Symptoms of COVID-19 include:

  • Fever
  • Fatigue
  • Dry cough
  • Difficulty breathing

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

I confirm that I, as well as all household members, have not been diagnosed with COVID-19 within the previous 30 days.

I affirm that I, as well as all household members, have not traveled outside of the country, or to any city outside of our own that is considered a "hot spot" for COVID-19 infections within the last 30 days.

I understand that this business and my microblading artist cannot be held liable for any exposure to the virus and all liability for the unintentional exposure or harm due to the COVID-19 virus.

By signing below, I agree to each above statement and release the microblading artist and business from any and all liability for the unintentional exposure or harm due to COVID-19.

 October 17, 2021

First Client Name

First Name*

Middle Name

Last Name*

Phone*
First Client Date of Birth*
First Client Signature*
Second Client Name

First Name*

Middle Name

Last Name*

Phone*
Second Client Date of Birth*
Third Client Name

First Name*

Middle Name

Last Name*

Phone*
Third Client Date of Birth*
Fourth Client Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Client Date of Birth*
Fifth Client Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Client Date of Birth*
Sixth Client Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Client Date of Birth*
Seventh Client Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Client Date of Birth*
Eighth Client Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Client Date of Birth*
Ninth Client Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Client Date of Birth*
Tenth Client Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Client Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!