: PLEASE READ / INITIAL THAT YOU UNDERSTAND THE FOLLOWING
My temperature has not been above 98.6 f in the past 72 hours.
I have not knowingly been in contact with anyone diagnosed with COVID-19 in the past 2 weeks.
I have not had any of the following symptoms in the past 2 weeks;Fever, Cough, Shortness of Breath, Persistent Chest Pain or Pressure.
I acknowledge I am receiving Massage Therapy/ Facial Treatments knowing that social distancing cannot be adhered to during my Massage/Facial session.
In the event I contract COVID-19, I will notify my Massage Therapist/Facial specialist as soon as possible.
COVID-19 has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person to person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing. Your Massage Therapist/ Facial Specialist has put in place preventive measures to reduce the spread of Covid-19; However, your Massage Therapist/ Facial Specialist cannot guarantee that you will not become infected with COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by receiving Massage Therapy/ Facial Services and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I voluntarily agree to assume all the forgoing risk and accept soul responsibility for any injury to myself (Including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense of any kind, that I may experience or incur in connection with my Massage Therapy/Facial appointment. On my behalf I hereby release, covenant not to sue, discharge, and hold harmless my Massage Therapist/ Facial Specialist, or Essentials South Tampa establishment, and any interested parties from the claims, including all liabilities, claims, actions, damage, cost or expense of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of my Massage Therapist/ Facial Specialist, or Essentials South Tampa where my massage therapy/ Facial services are received, whether a COVID-19 infection occurs before, during, or after any participation in a massage therapy or facial service. I Agree
January 22, 2021