Covid-19 Liability Release Form

  • I have not traveled out of the country or to any COVID-19 hotspots within the past 30 days.
  • I have not had any symptoms of being sick, including cough, fever, sore throat, chills, or loss of taste and/or smell in the last 14 days.
  • I am not living with or been in close proximity with anyone who has exhibited signs of being sick on the last 14 days or anyone who is quarantined and/or tested positive for COVID-19
  • I will wash my hands with soap and water for 20 seconds before and after my procedure, as well as before and after use of the restroom.
  • Salon staff will be wearing Personal Protective Equipment (PPE), including masks, during my appointment and I agree to wear a face mask for the duration of my appointment.
  • I will maintain social distancing of at least 6 feet from anyone in the salon, except during my procedure or any processes related to my procedure.
  • I understand that this procedure is an elective procedure and that I do not have to have any service done today. I understand that I can reschedule my appointment for a later date at no cost to me.
  • I am aware that the current COVID-19 pandemic means that I am at risk for becoming infected with the virus despite the staff's best efforts at preventing the spread of infection and germs.
  • I understand that the staff will be doing everything required by government and health officials to prevent the spread of COVID-19 but that information about preventing and spreading infection from COVID-19 is limited and continues to evolve and that the risk of infection still exists.
  • I am choosing to undergo this procedure today despite the risks associated with COVID-19 and will not hold any owners employee, or staff member of this facility liable for any exposure to the virus or any other contagion or for any negligence if I become infected.
  • I understand that the staff will be disinfecting the work areas frequently, including before and after procedures, but that disinfectant can only kill 99.0* of pathogens.
  • If I notice any symptoms of infection, such as cough or fever, within 14 days of having this procedure done, I will contact a physician and inform the artist who performed my procedure.

By signing below, I affirm that the above statements are true and hereby release all staff members and artists at TheBeautyBar454, 454C Appian Way, El Sobrante CA 94803 from any and all liability for the unintentional exposure or harm due to COVID-19.

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