COVID-19 Pandemic Consent Form

Please take a moment to complete our consent form.
By submitting the form below you agree to knowingly and willingly consenting to have hair/skin/body service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.

First Name

Last Name

I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not, given the current limits in virus testing. *

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 an elevated risk of contracting the virus simply by being in the salon. *

I confirm that I am not presenting any of the following symptoms of COVOID-19 listed below: *

• Temperature above 98.7 degrees
• Shortness of breath
• Loss of sense of taste or smell
• Dry cough
• Sore Throat

I confirm that I have not been around anyone with these symptoms in the past 14 days. *

I do not live with anyone who is sick or quarantined. *

To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the salon’s strict guidelines. *

I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And I understand that the CDC, OSHA and New York Board of Cosmetology and Barbers recommend social distancing of at least 6 feet. *

I verify that I have not traveled outside the United States in the past 14 days to countries that have been affected by COVID-19. *

I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days. *

Your Signature

Date

Thanks for submitting!

Your safety and the safety of our stylists is our priority.

What you can expect on your next visit!

Bookings

We will not be accepting appointments via text messaging. All appointments must be booked through our website.

Your Experience

Waiver Prior to Services – all clients will be asked to sign a COVID-19 waiver form prior to the start of each service.
Appointment Only – No extra guests or walk-ins will be allowed at this time. We are operating at 50% capacity at the moment.
Mask At All Times – All clients will be asked to wear a mask to and during their visit. If you do not have a mask, we will not be allowed to serve you.
Sanitize – We will invite all of our clients to wash their hands or sanitize upon arrival

About the Salon

Social Distancing – In the event that we have another hairstylist working, we will be using the station closet to the reception chair to maintain at least 6 feet distance.
Enhanced Daily Sanitation – We will be regularly disinfecting high-touch areas. Additionally, there will be a 15-minute sanitation break between each client. This ensures us ample time to thoroughly clean and sanitizes the station for your visit.

About the Hairstylist

Masks – Hairstylist is required to wear a mask over their nose and mouth during your appointment.
Gloves – In the event that we need gloves, the hairstylist will be wearing new gloves during your appointment. No pair of gloves will ever be reused between clients.
Covid-19 testing – All hairstylists are required to get tested on a weekly basis.
Tools and Products – All tools will be safely sanitized after each use.

Appointments

Please Never No Show – We have very limited capacity at the moment and our time is very valuable. If you do no show for your appointment, please note that you will be charged the full amount of the service and there will be no refunds or credits given.
Cancellations – Our 24-hour cancellation policy still stands. If you must cancel your appointment, please let us know at least 24 hours prior to your appointment time. You may email us at any time or call and leave a message at any time and we will honor the time that you sent the email or the time that the message was received.
Be Generous Through Patience – We are all learning how to move forward during this new time and we are doing our best with all of the new procedures in place to run on time and make time for all of our clients.

COVID-19 Pandemic Consent Form

• Temperature above 98.7 degrees
• Shortness of breath
• Loss of sense of taste or smell
• Dry cough
• Sore Throat

Your safety and the safety of our stylists is our priority.

What you can expect on your next visit!

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COVID-19 Pandemic Consent Form

• Temperature above 98.7 degrees • Shortness of breath • Loss of sense of taste or smell • Dry cough • Sore Throat

Your safety and the safety of our stylists is our priority.

What you can expect on your next visit!

• Temperature above 98.7 degrees
• Shortness of breath
• Loss of sense of taste or smell
• Dry cough
• Sore Throat