1/52/53/54/55/5 What We Have Been Up To Let's Get StartedBackContinueSafety First I AgreeNew Appointments I AgreeBackContinueClient Procedures I AgreeStylist Procedures I AgreeBackContinueDuring Your Appointment I AgreeContactless Payment I AgreeBackContinueClient Health QuestionnaireMy Information:First Name Last Name Email Phone Number Prior to the start of my service, I confirm that:Diagnosis I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeksContact with Symptomatic I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeksTravel I have not traveled outside of my immediate daily routine for the past two weeksSymptoms I do not have a cough, fever, chills, shortness of breath, or loss of taste or smellContact Stylist If I begin to show symptoms of COVID-19 within the next two weeks, I will contact my stylistFollow Salon Rules I will follow all posted salon rules to keep myself, my stylist and those around me safeDigital SignatureDigital Signature Confirm Digital Signature By adding your signature twice below, you confirm that the information above is accurateSigned On Previous Submit Form
