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COVID-19 Wavier & Re-opening agreement

We are excited to service your haircare needs. As a precaution, we need to document all of our protocols for our re-opening during the 2020 pandemic due to COVID-19. This wavier & re-opening agreement must be signed by all our guests in order to receive our services.
RELEASE OF LIABILITY AND AGREEMENT 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.

At Myriad Connection Inc. we are not experts in the risk analysis of COVID-19. We are willing to open and provide salon services to you if you are willing to accept the risks of contracting COVID-19.

I Agree

​In consideration for providing haircare services, by clicking I AGREE below you agree to accept all responsibility for the risk that you may contract COVID-19. While we are taking your safety profoundly 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

NOW THEREFORE, in consideration for providing Haircare services, I agree that should I contract COVID-19, I agree to indemnify  Leola Jones, Myriad Connection Inc., its officers, agents, landowners and their successors and assigns harmless from any and all claims for damages should I contract COVID-19 from my receiving ALL services at Myriad Connection Inc. 

I Agree

I further agree that I will not file, nor cause to be filed, nor participate in any lawsuit against Leola Jones, Myriad Connection Inc., and any other person who may be in any way connected with ALL services at Myriad Connection Inc and/or for injuries and/or death as a result of contracting COVID-19. 

I Agree

​I agree that if I take any steps to make a claim for damages against Myriad Connection Inc. or any other released parties arising out of my receipt of ALL services during my visit Myriad Connection Inc. facilities, I shall be obligated to pay all attorneys’ fees and costs incurred as a result of such claim. 

I Agree

I acknowledge that I can go elsewhere to have my Haircare services, and I acknowledge that Myriad Connection Inc. is not the only hair salon where I can have my Haircare services. 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 Haircare services. 

I Agree

In addition, I agree that if any dispute or claim relating in any way to the services provided by Leola Jones, Myriad Connection Inc.  pursuant to the terms of this agreement will be resolved by binding, individual arbitration, rather than in court. I agree that arbitration shall be governed by the Federal Arbitration Act (FAA), including its procedural provisions, in all respects. 

I Agree

Beginning June 1, 2020. I acknowledge that there will be an additional salon sanitation and service Fee of $5.00 for each salon visit. 

I Agree

Beginning June 1, 2020. Requirements to and from salon guests to receive salon services:

For your protection all tools, stations and equipment will be cleaned, sanitized, and/or disinfected before and after each guest. New capes will be given to each guest.  Stylist will wear new mask, gloves, apron, or clothes covering for each guest service.  We have added touchless trash cans and hand sanitizer station. There is also an air purifier with HEPA filter. We are suspending all eyebrow and eyelash services, makeup and facial waxing, hand and arm massage and  complimentary services.

Due to the Covid-19 Pandemic Salon visits and services have changed.

Guest and Stylist must always wear a mask in the salon.

Only the person receiving the service will be allowed in the salon.

Children with special needs can have only one Adult with them in the Salon.

It is also required of everyone to either wash or sanitize their hands upon arrival of your appointment, after using the restroom, or anytime you leave and re-enter Leola’s salon area.

No purse, no tablets, no magazines, no food or drinks and no carts are allowed in the Salon. You can bring in only 3 Items into the salon!  Your Phone, Keys, and form of payment. You will receive a plastic bag upon arrival that you will put all your personal items in the plastic bag. We ask that you do not put any personal items on any surfaces in the salon.

Recommended forms of payment are Apple pay, Credit or Debit cards, and Exact cash payments. 

I Agree

My entry of my first and last name below is my signature for this document. I understand that if I disagree with any statement, I will not be allowed to receive services at this time.

Today's Date: July 4, 2020

First Guest Name

First Name*

Last Name*
First Guest Date of Birth*
I certify that I am 18 years of age or older
First Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
First Guest Signature*
Second Guest Name

First Name*

Last Name*
Second Guest Date of Birth*
Second Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Third Guest Name

First Name*

Last Name*
Third Guest Date of Birth*
Third Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Fourth Guest Name

First Name*

Last Name*
Fourth Guest Date of Birth*
Fourth Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Fifth Guest Name

First Name*

Last Name*
Fifth Guest Date of Birth*
Fifth Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Sixth Guest Name

First Name*

Last Name*
Sixth Guest Date of Birth*
Sixth Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Seventh Guest Name

First Name*

Last Name*
Seventh Guest Date of Birth*
Seventh Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Eighth Guest Name

First Name*

Last Name*
Eighth Guest Date of Birth*
Eighth Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Ninth Guest Name

First Name*

Last Name*
Ninth Guest Date of Birth*
Ninth Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
Tenth Guest Name

First Name*

Last Name*
Tenth Guest Date of Birth*
Tenth Guest Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
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*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Have you experienced any of the following symptoms in the last 14 days: Fever of 99 or above, Dry cough, Chills/shaking, Muscle pain, Sore throat, Loss of taste or smell, Headache*
No
Yes
Are you living with someone sick or quarantined?*
No
Yes
Have you been on an airplane in the last two weeks?*
No
Yes
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.


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