COVID-19 Pandemic Treatment Consent Form
By Nails By Jen
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date Picker Icon
I knowingly and willingly consent to having nail salon service(s) during the COVID-19 pandemic.
*
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 follow the salon's strict guidelines
*
by checking this box I understand and accept this statement.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. I know that the UK government are enforcing social distancing of at least 2 metres.
*
by checking this box I understand and accept this statement.
I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of being in a nail salon that I have elevated the risk of contracting the virus by merely being in the salon.
*
by checking this box I understand and accept this statement.
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. I will be vigilant and ensure that if I come into contact with someone who has symptoms I will cancel my appointment and follow government recommendations.
*
by checking this box I understand and accept this statement.
I verify that I will not attend my appointment and cancel within 24 hours if I feel any of the symptoms of COVID-19 or have been around anyone who has.
*
by checking this box I agree and understand this statement.
Symptoms
I will not attend my appointment if I feel any of the following symptoms of COVID-19 listed below: Temperature, Shortness of breath, Loss of sense of taste or smell, Dry cough, Runny nose,Sore throat.
I understand, read, and completed this questionnaire truthfully. I understand that this document is to provide the best possible guest experience and to keep everyone safe at Nails By Jen.
*
Yes
Signature
*
Submit
Should be Empty: