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Nails-Hair-Covid

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:

  • Fever
  • Fatique
  • 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 surgical 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)

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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