Covid-19 Waiver Form Client Full Name: Initial below to confirm that you do not have any of the following symptoms or signs of COVID-19: • Shortness of breath • Sore throat • Loss of sense of taste or smell • Dry cough • Body aches/Pain • Chills *Initial Below I confirm that I, as well as anyone I have come in contact with, have not been diagnosed with COVID-19 within the last 30 days. *Initial Below I confirm that I have not traveled outside of Canada or had close contact with anyone who has traveled outside Canada within the past 14 days. *Initial Below I understand that I can be denied a service if my technician believes that I may be sick, or have symptoms of COVID-19. *Initial Below I understand that I will have to follow the salon’s strict guidelines such as wearing a face mask, and washing my hands. *Initial Below I agree to respect physical distancing throughout the salon. *Initial Below I understand that the washrooms at Pretty Little Secrets are closed until further notice. *Initial Below I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of the services, that I have an elevated risk of contracting the virus. I understand and agree that Pretty Little Secrets Corp as well as my technician cannot be held liable for any exposure to the virus or any other contagion. I understand, read, and completed this liability form truthfully. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I understand that this document is to provide the best possible guest experience when visiting Pretty Little Secrets. *Initial Below Date: Phone Number: Email: Signature: (Full Name)
