The Colour Room Salon COVID-19 Liability Release Waiver

COVID-19 Liability Release Waiver
**Signature and Information Required Prior to Every Scheduled Appointment**
Due to the 2019-2020 outbreak of the Coronavirus (COVID-19), The Colour Room Salon is taking extra precautions with the care of every guest to include a health history review and enhanced sanitation/disinfection procedures in accordance with the Local, State and CDC guidelines.
Symptoms of COVID-19 include:
- Fever
- Fatigue
- Dry Cough
- Difficulty Breathing
I agree to the following:*
I understand the above symptoms and affirm that I, as well as all household members, do NOT currently have, nor have experienced the symptoms listed above WITHIN THE LAST 14 DAYS.I affirm that I, as well as all household members, have NOT been diagnosed with COVID-19 WITHIN THE PAST 14 DAYS.I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 14 DAYS.I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 14 DAYS.I waive all liability of The Colour Room Salon and my stylist if I unavoidable contract COVID-19.I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of hair services, that I have elevated the risk of contracting the virus by being in a public setting, such as this salon and accept that risk.I understand the COVID-19 virus has a long incubation period, during which carriers of the virus may not show any symptoms and still be highly contagious. It is impossible to fully determine who is positive and who is not, given the current limits of screening in salon and I accept the risk.
The Colour Room Salon and my stylist is following these enhanced procedures to prevent the spread of COVID-19:
- Additional time included between appointments to sanitize service areas and to minimize guest contact.
- Increased distance between clients to adhere to safe social distancing guidelines.
- No visitors during your service.
- Each guest is required to wash or sanatize hands upon arrival.
- Your service provider will thoroughly wash and sanitize hands as often as possible
- Everyone in the space must be masked. Guests receiving services must wear a mask or face shield that covers the nose and mouth completely.
- All surfaces will be wiped thoroughly with hospital grade disinfectant before and after each client.
By signing below, I agree to each statement above and release from any and all liability for the unintentional exposure or harm due to COVID-19. The Colour Room Salon and my stylist agrees to abide by these standards and affirms the same.
Name*
First NameLast Name
Cell phone *
Area CodePhone Number
Date*
MonthDayYear
Date
Signature *
Clear
I confirm all of the above information to be true and agree to all terms and guidelines as listed above, and my agreement is in alternate of my signature.*
I agree and sign.
Should be Empty: