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Please complete the following waiver & health questionnaire prior to your upcoming appintment. 

Lash Bash Covid-19 Safety Protocols

We look forward to welcoming back our valued clients to Lash Bash. In addition to our continued Gold Standard safety and sanitation practices we have updated our safety protocols for both clients and lash artists. Our new policies are in accordance with current CDC guidelines for Covid-19. We want  you to  feel safe during your service and leave healthy and with lashes you love!

*If you are feeling unwell or have been exposed to Covid-19 please stay home for 14 days

Protective Equipment 
All employees and clients must wear a mask while inside the salon 


Contactless Temperature Checks
All clients will receive contactless temperature checks prior to the start of their service. All employees will receive daily temperature checks. 


Updated Waivers
All clients must sign and submit a waiver. The waiver will be available to e-sign prior to the start of your appointment in an effort to minimize the use of the in-salon tablet.


Continuous Cleaning
Stations will be sanitized before and after every service. All lash stylists have completed additional Barbicide Covid-19 Certification. All door handles will be wiped down every 30 minutes


Reduced Capacity but Longer Hours and More Availability
To reduce the number of clients in the salon we have limited the number of available appointments ( not to worry we have expanded hours!). This new policy will ensure no more than 4 individuals in the salon at one time. If you arrive to your appointment early -we will give you a ring on your mobile when we can safely accommodate you. Sadly, your guests cannot join you in the salon. 

Contactless Check-Out 

We are going cashless! We accept all major credit cards. Gratuity is accepted, you can add this to your card at check out or use Venmo. Your receipt will be emailed to you. 

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
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*
A signed copy of this waiver will be sent to the email address you provide.
Health Questionnaire
Fever*
No
Yes
Dry Cough*
No
Yes
Body Aches*
No
Yes
Headaches*
No
Yes
Sore Throat*
No
Yes
Runny Nose*
No
Yes
Tiredness*
No
Yes
Shortness of Breath*
No
Yes
Have you been in contact with anyone who has a confirmed case of COVID-19 in the past 14 days?*
No
Yes
If you're a healthcare provider and the answer is YES, was this exposure without proper personal protective equipment (PPE)?*
No
Yes
N/A
Have you been out of the state of PA in the past 14 days?*
No
Yes

If you answered yes to the above question where dd you travel to?
Covid-19 Safety Policy
In booking your appointment for services, you agree to comply with LASH BASH LLC's COVID-19 Safety Policy and Procedures (https://lashbashsalon.com/covid-19policies/). Specifically, while in the salon, you agree to comply with all health and safety measures implemented by LASH BASH LLC, including but not limited to answering the COVID-19 health questionnaire, having your temperature taken before receiving service, wearing a mask while in the salon, maintaining social distancing protocols and utilizing our contactless check-out technology. LASH BASH LLC will not retain your responses to the COVID-19 health questionnaire. You understand that we reserve the right to refuse service to you for failing to comply with any of these measures. While LASH LASH has taken appropriate health and hygiene precautions, we cannot guarantee that these measures will completely protect you from contracting COVID-19 when receiving LASH BASH services. By signing, you agree that you will not hold Lash Bash LLC liable for any transmission of COVID-19 that could occur while receiving LASH BASH services. You also agree that if you have COVID-19 symptoms within 14 days of your visit to LASH BASH, you will immediately notify LASH BASH that you are symptomatic.
I have read and understand the policy
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*
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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