Classic Hair and Beauty Cpt Covid-19 Salon Services Consent Form

By submitting this form, you agree to have hair, skin, or body services during the pandemic.

Client Name

Last Name

By checking the boxes, you confirm that you agree with the following statements:

Do you have any of these symptoms? - cough, shortness of breath, high fever, muscle pain, body ache, nausea, loss of taste/smell

Within 14 days, have you been in contact with anyone that has COVID-19 symptoms or get infected?

Are you living with anyone that is get infected or quarantined due to COVID-19?

I agree not to visit the salon for any of the services provided if I have the symptoms of COVID-19. I acknowledge that the information I have given in this consent form is accurate and complete. By signing below, I confirm that I understand and agree to all terms and statements in this form.

Parent/Guardian Name (if applicable)

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Date

Signature

Client Signature

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Client Signature

Month Day

Year