COVID-19 Liability Release Waiver
Due to the outbreak of the novel Coronavirus (COVID-19), Lash and Nail Spa is doing everything we can to protect you, our clients, our community and our staff. To this extent, Lash and Nail Spa will be following the Center of Disease-Control (CDC) and the Florida Department of Health guidance with regard to social distancing practices and sanitation. We ask that our clients disclose their health history and continue to implement these sanitation and disinfection procedures.
Symptoms of COVID-19 include:
- Dry Cough
- Difficulty Breathing
I agree to the following: *
I, nor members of my household, have not experienced any of the symptoms listed above within the last 14 days.I, nor members of my household, have not travelled internationally in the last 30 days.I, nor members of my household, have not traveled to a highly impacted area within the United States of America is the last 30 days.I, nor members of my household, do not believe that we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus (COVID-19).I, nor members of my household, have not been diagnosed with the Coronavirus (COVID-19) within the last 30 days.Lash and Nail Spa cannot be held liable from any exposure to the Coronavirus (COVID-19) caused by misinformation on this form or the health history provided by each client. If I take any steps to make a claim for damages against Jolene Nails, its agents, employees or any other released parties, I shall be obligated to pay all attorney’s fees and costs incurred as a result of such claim
Lash and Nail Spa is following these enhanced procedures to prevent the spread of the Coronavirus (COVID-19)
- All clients must wear a mask/mouth/nose coverings during the duration of the service or service will be denied
- Additional time will be scheduled in between client appointments to limit client contact.
- Each client is required to wash their hands upon arrival and before departure.
- All nail technicians will thoroughly clean customers’ hands before service
- All equipment used during treatment will be cleaned, sterilized, and disinfected
- All surfaces will be thoroughly cleaned with hospital grade disinfectant before and after each client, according to the manufacturer’s directions.
By signing below, I hereby release and agree to hold Lash and Nail Spa harmless from and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damages or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Lash and Nail Spa.
Lash and Nail Spa agrees to abide by CDC standard relaged to COVID-19.
I agree to release Lash and Nail Spa from any and all liability for the unintentional exposure or harm due to the Coronavirus (COVID-19)
Eyelash Extension Concent Form
I have agreed to have Lash and Nail Spa apply and/or removed eyelash extensions. Before my qualified professional can perform this procedure, I understand I must complete this agreement and provide my informed consent by signing and dating where indicated below.
1. Waiver of Liability.
I understand there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes,and that not withstanding the utmost of care in the application or removal of these products, there still exist risks associated with the procedure and product itself, which include, without limitation, eye irritation, eye pain, discomfort, and, in rare cases, blindness when improperly handled. As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach the artificial Lash and Nail Spa to my existing eyelashes. Even though the Professional may apply or remove my Lash and Nail Spa properly, I understand adhesive material may become dislodgedduring or after the procedure, which may irritate my eyes or require further follow-up care, at my own expense to prevent damage to my eyes. I alsounderstand there is more than one technique for applying Lash and Nail Spa to my eyelashes, and I will not attribute any liability to Professional or Lash and Nail Spa as a result of this procedure or the use and care of these lashes. I also agree to defend, indemnify and hold harmless Professional and Lash and Nail Spa from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys’ fees which might be asserted against them as a result of my having this procedure performed, or my purchase of these Lash and Nail Spa products. As used in this agreement, the terms “Professional” and “Lash and Nail Spa” include all of their respective officers, directors, agents, employees, successors and assigns.
2. Permission to Use Pictures.
I hereby grant to Professional and Lash and Nail Spa the full right to take, publish and reproduce photographs ofme, my face, my eyes and/or eyelashes, both before and after this procedure, for any advertising, education, or other purposes whatsoever, includingthe right to retouch these photographs as deemed necessary by Professional or Lash and Nail Spa. I further expressly assign any copyright in thesephotographs to Lash and Nail Spa. I also grant my consent for Professional and Lash and Nail Spa to use my image and likeness as contained in these photographs for any advertising or other purposes, along with any comments I may provide.
3. No Known Medical Conditions / Informed Consent.
I have read and completed the Lash and Nail Spa Client Intake Form in its entirety and in truth. I acknowledge that I have been advised of the potential harmful or negative side effects (such as the premature shedding of my eyelash) that the lash extension procedure or removal may cause to those who have specific medical or skin conditions. I understand that the adhesives and adhesive remover are a skin, eye and mucus membrane irritant and that in rare cases persons may be allergic or have hypersensitivity to synthetics, cyanoacrolate or formaldehyde which in small amount may be present in the adhesive. I understand that the procedure requires that I lay still for up to 2 hours or longer with my eyes shut. I further state that I have no known medical condition that might be aggrevated by the procedure or any medical condition that would prevent me from complying with or heeding to the professional’s or Lash and Nail Spa instructions or these warnings.If any action is brought to enforce the terms of this Agreement, the prevailing party shall be entitled to its costs and reasonable attorneys’ fees.Any claims arising out of this agreement will be resolved through binding arbitration using the rules of the American Arbitration Association.This agreement will remain in effect for this procedure, and all future procedures conducted by Professional or any other professional conducting
business at the salon/spa establishment listed above.
This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to the eyelash extension application procedure.