COVID WAIVER

For your safety and ours, please fill out the screening questions below.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

COVID Symptom Checker

please list quantity needed for each below

Have you or any immediate family members had a known exposure to COVID-19 in the last 14 days?

Are you or any immediate family members awaiting the results of a COVID-19 test?

Have you or any immediate family members travelled to any of the currently restricted states, as per the orders of Governor Murphy?

Do you have any of the following symptoms? Fever, chills, uncontrolled shivering, dry cough, shortness of breath or a sore throat? A runny nose, lost sense of taste or smell, headaches, fatigue, weakness, or any GI symptoms?

The Fine Print

Terms + Conditions

MASKS: Artists and clients must wear a mask 100% of the time. While working around the face, if the mask needs to be removed, the artist must also wear a face shield. TEMPERATURE CHECKS Artists will check their temperature prior to arriving for the date. Each client will be checked with a contactless thermometer. Any temperature above 100.4 means that we cannot provide service. DISINFECTANT Hand sanitizer will be used in between each client, or hand-washing when available, and clients will be urged to do the same. DISTANCING While artists are working, only the client currently being serviced will be allowed within 8 feet. All clients not being serviced must remain 8 feet away or in a different space. Artists will be spaced 6 feet apart from each other at all times.

I agree to the above.

Signature

I have read, understand, and agree to the terms of this contract. Deposit payment is due upon submission of this document to HairByAndreaRossi by means of cash, or personal check.

Waiver

COVID WAIVER