IF YOU HAVE FILLED THIS OUT AT LEAST ONCE BEFORE, YOU CAN DO A VERBAL COVID WAIVER WHEN YOU CHECK IN FOR YOUR APPOINTMENT.
Due to current regulations, do not arrive more than 5 minutes prior to your appointment.
COVID 19 Health Screening:
By checking the below boxes I am attesting that I have NOT had the below symptoms or circumstances:
I am NOT currently experienceing any of the following symptoms:
- Shortness of breath or difficulty breathing
- Muscle pain
- Sore throat
- New loss of taste or smell
I have NOT had more than 2 of these symptoms in the past 14 days?
I do NOT shared a home with or come in direct contact with anyone who has displayed any of these symptoms within the past 14 days?
I have NOT been quarantined for or diagnosed with COVID-19 within the past 14 days?
I have NOT shared a home with or come in direct contact with someone who has been quarantined for or diagnosed with COVID-19 within the past 14 days?
RELEASE OF LIABILITY ANDAGREEMENT NOT TO SUE, INDEMNIFICATION, HOLD HARMLESS, LIMITATION OF WARRANTY
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 difficultly in scientifically determining whether anyone has the virus at any moment in time.
Salon and spa services cannot be conducted with the advised 6' physical distancing. I am aware of this and am willing to accept that risk.
In consideration for providing salon or spa services, by signing below you agree to accept all responsibility for the risk that you may contract COVID-19. While we are taking your safety and that of our staff very serious, by employing new safety and sanitation initiatives, we cannot guarantee that any of these measures will completely protect you from contracting COVID-19.
I agree that if I take any steps to make a claim for damages against Gervais Salon & Day Spa, its agents, employees or any other released parties arising out of my receipt of services during my visit to Gervais’s facilities, I shall be obligated to pay all attorneys’ fees and costs incurred as a result of such claim.
By signing this Agreement, I acknowledge that I am free to go to other salons who may not require my agreement to accept responsibility for contracting COVID-19 and I chose to have salon or spa services.