New Client Consultation Form

SALON INA COVID-19 SERVICE WAIVER
__________________________________________________________________
GUEST NAME*
First NameLast Name
DATE OF UPCOMING APPOINTMENT*
MonthDayYear
NAME OF STYLIST FOR UPCOMING VISIT*
I knowingly and willingly consent to having service(s) at SALON INA during the COVID-19 pandemic.*
by checking this box I understand and accept this statement.
HAVE YOU EXPERIENCED ANY OF THESE SYMPTOMS?
FEVERSHORTNESS OF BREATHLOSS OF SMELLDRY COUGHFATIGUENONE OF THE ABOVE
I agree not to come to the salon if I have experienced any symptoms of COVID-19 within the last 48 hours*
by checking this box I understand and accept this statement.
To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to wear a mask at all times. If I do not have a mask, one will be provided for a fee of $1.00*
by checking this box I understand and accept this statement.
IN SALON TEMPERATURE CHECK I’m willing to take a temperature check during my visit to the salon before the services are started.*
by checking this box I understand and accept this statement.
I understand that I will have to wait in my car until asked to come in.*
by checking this box I understand and accept this statement.
I understand that I will be asked to come alone unless accompanying a minor.*
by checking this box I understand and accept this statement.
I understand that I will be asked to bring limited personal items*
by checking this box I understand and accept this statement.
I understand that I will be asked to wash my hands in the bathroom prior to my service starting.*
by checking this box I understand and accept this statement.
I understand that at this time Salon Ina will not be performing any AVEDA rituals as well as not offering beverages.*
by checking this box I understand and accept this statement.
I understand that Salon Ina will be practicing social distancing.*
by checking this box I understand and accept this statement.
I understand that Salon Ina's services may take longer due to the new safety practices before, during, and after my appointment.*
by checking this box I understand and accept this statement.
GUEST LIABILITY RELEASE RELEASE OF LIABILITY AND AGREEMENT NOT TO SUE, INDEMNIFICATION, HOLD HARMLESS, LIMITATION OF WARRANTY. We all know that these are uncertain times. The risks of COVID-19 are not well understood and there is controversy among the experts on how the virus can spread and difficulty in scientifically determining whether anyone has the virus at any moment in time. In consideration for providing salon and spa services, by signing below you agree to accept all responsibility for the risk that you may contract COVID-19. While we are taking the guests safety and the safety of our staff very serious, by implementing new safety and sanitation procedures, we cannot guarantee that any of these measures will completely protect you from contracting COVID-19. I agree that if I take any steps to make a claim for damages against SALON INA, its agents, employees or any other released parties arising out of my receipt of salon or spa services during my visit to SALON INA, I shall be obligated to pay all attorney's fees and costs incurred as a result of such claim. I acknowledge that I can go elsewhere to have my hair cut, colored and spa services and I acknowledge that SALON INA is not the only AVEDA salon where I can have my hair, skin, lashes, and nails done. By signing this agreement, I acknowledge that I am free to go to other salons who may not require my agreement to accept responsibility for contracting COVID-19 and I chose to have my hair cut, colored and or spa services. SALON INA RESERVES THE RIGHT TO TURN AWAY ANY GUEST THAT VISIBLY PRESENTS SYMPTOMS AS DESCRIBED ABOVE OR THAT HAS CHECKED YES TO ANY OF THE ABOVE QUESTIONS. IN ADDITION, THE SALON INA TEAM IS SCREENED DAILY AT ARRIVAL UTILIZING THE ABOVE PROTOCALS. ANY TEAM MEMBER THAT ANSWERS YES OR EXHIBITING SYMPTOMS WILL NOT BE ALLOWED TO STAY IN BUIDLING AND ASKED NOT TO WORK UNTIL THEY TEST NEGATIVE FOR COVID-19 OR ARE SYMPTOM FREE.*
I AGREE
Please sign attesting your information is accurate and true and that you accept full responsibility for you visti to SALON INA.*
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