I understand that the novel coronavirus causes the disease known as COVID-19. I understand the novel coronavirus has a long incubation period during which the carriers of the virus may not show not show the symptoms and may still be contagious.
 
I understand that :

1. physical distancing of 1.5 metres may not be possible while in the salon receiving services.
2. I must sanitise my hands before entering the salon
3. I must make all attempts to cover my mouth and nose in the event of coughing and/or sneezing and then immediately sterilse my hands
4. I will minimise the touching of common surface/areas
5. I may be unable to proceed with services at Jo's Xquisite Beauty if they are deemed unsafe to myself or a staff member
6. I may NOT bring children or anyone else who does not have an appointment into the salon.
7. I understand the staff of Jo's X-quisite Beauty will do everything possible to minimise the spread of COVID-19, but will not hold them responsible should I contract COVID-19.

I confirm that:

1. I am not currently positive for COVID-19
2. I am not waiting for the results of a laboratory test for COVID-19
3. I have not returned to Queensland from any other State or Country, whether by car, air, sea, bus or train in the past 14 days
4. I have not been identified as a contact of someone who has test positive for COVID-19 or been asked to self-isolate by any government agency.
5. I am not in high risk category for increased illness or death from COVID-19, including : diabetes, cardiovascular disease, hypertension, lung disease including moderate to severe asthma, being immunocompromised (including transplant recipient), having active malignancy or over the age of 65.
6. I am NOT presenting with any of the following symptoms of COVID-19:

I will immediately notify the salon if I contract the virus within two weeks following my visit.
 
By signing below, I verify that the information I have provided on this form is truthful and accurate.