COVID-19 Pre-Screening & Liability Release Waiver

COVID-19 Pre-Screening & Liability Release Waiver

**Signature Required Prior to Every Scheduled Appointment**
Name *

First Name Last Name
Cell Phone Number (for texting when we're ready for you to come in) *
Cell Phone Number *

Area Code Phone Number
Email
example@example.com
My APPOINTMENT Date *

Month Day Year
Date
Location of Your Appointment *

Farmington Birmingham
The health & well-being of our team, our guests, and our community is our top priority. In addition to sanitizing all implements and workstations before/after each guest, we have temporarily paused beverage service, distribution of magazines, and hand massages/makeup touch ups. Our service providers and guest services team will be wearing face masks and eye protection.

We've also modified schedules to operate at decreased capacity to ensure appropriate social distancing, and installed barriers between stations, shampoo bowls, and reception desk.

We kindly ask that you:
- please wait in your car until we text you that your service provider is ready for you to come in
- please wear a disposable ear-loop mask to your appointment that you'd be comfortable getting color or product on ; this will need to remain on while you're inside the salon and cover both your nose and mouth securely
- arrive alone to your appointment as we are trying to limit the amount of people in our space at once
- please bring a beverage with you if you need one, as we're unable to provide beverages and magazines for the moment
- we'll be checking temperatures with a no-contact thermometer for all guests and employees, and sanitizing hands upon arrival
- we'll greet you verbally, no hugs or handshakes yet
- if you'd prefer, we have contactless checkout options through the Pocket Salon app, tap to pay, or Apple Pay
We can't thank you enough for your support and understanding! We are committed to YOU.
Guest Liability Release
Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), Salon Legato and Salon Legato II are taking extra precautions with the care of every guest to include health history review and enhanced sanitation/disinfection procedures.
Have you or any household members had any of these symptoms in the last 14 days: fever, cough, shortness of breath/difficulty breathing, OR at least 2 of the following – chills, muscle pain, headache, sore throat, loss of taste/smell, diarrhea, or extreme fatigue? *

No Yes, I am experiencing symptoms.
If yes, could you tell us a bit more about this?
Have you or any household members experienced any of symptoms above within the last 14 days? *

No Yes
Have you or any household members been diagnosed with COVID-19, or knowingly been exposed to anyone diagnosed with COVID-19 in the past 14 days? *

No Yes, I have been exposed in the last 14 days.
If yes, could you tell us a bit more about this?
Have you or any household members been diagnosed with COVID-19, or knowingly been exposed to anyone diagnosed with COVID-19 in the past 30 days? *

No Yes
Have you or any household members traveled outside of Michigan within the last 14 days? *

No Yes, I have traveled in the last 14 days.
If yes, could you tell us a bit more about this?
Have you or any household members travelled outside of the country, or to any city considered to be a "hot spot" by the CDC for COVID-19 infections within the last 30 days? *

No Yes
I agree to the following: *

I understand that I must wear a face mask covering my NOSE + MOUTH for the duration of my time in the salon. I also understand that Salon Legato, Salon Legato II, or any of their employees or owners cannot be held liable for any exposure to the COVID-19 virus.
We may need to reschedule your appointment if you answered "Yes" to any of the questions above. If this applies to you, we understand the inconvenience this may cause and look forward to scheduling your next reservation soon!

In addition, the Legato team is screened daily at arrival utilizing the above protocols. Any team member exibiting symptoms or who cannot affirm the same agreements will not be able to work until they test negative for COVID-19 / are symptom free.

By signing below, I agree to each statement above and release Salon Legato and Salon Legato II from any and all liability for the unintentional exposure or harm due to COVID-19.
Date *

Month Day Year
Date
Signature *

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COVID-19 Pre-Screening & Liability Release Waiver

Guest Liability Release