April 18, 2021
PRIOR TO THE START OF MY SERVICE, I CONFIRM THAT:
Within the past 14 days, I have NOT been diagnosed with or cared for someone diagnosed with COVID-19
Within the past 14 days, I have NOT shown symptoms of COVID-19 or come in close contact with anyone exhibiting symptoms.
Within the next 14 days, should I begin to show symptoms of COVID-19, I will notify Hush Tan.
Within the past 14 days, i have not traveled by plane.
WHILE INSIDE HUSH TAN I AGREE TO:
Wear a mask, keeping it placed above my nose and below my chin, UNLESS instructed otherwise by my service provider.
Maintain SIX (6) feet distance from everyone with the exception of my service provider.
Follow all posted and verbal instruction to keep myself and those around me safe.
IF YOU ARE UNABLE TO AGREE TO ANY OF THESE ITEMS PLEASE CONTACT US AT (503)341-4013 IMMEDIATELY TO RESCHEDULE.
COVID-19 WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
In consideration for receiving services from Hush Tan, I hereby acknowledge and agree to the following:
I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated and I accept full responsibility for familiarizing myself with the most recent updates.
Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to receive services.
I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my being on the premises and engaging in services hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE (on behalf of myself) HUSH TAN, their owner, officers, directors, agents and employees (the “RELEASEES”) from any liability related to COVID-19 which might occur as a result my being on the premises and engaging in services.
I shall indemnify, defend and hold harmless the RELEASEES from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the infection of COVID-19.
It is my express intent that this Waiver and Hold Harmless Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Oregon.
IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.