covid-19 liability release

Due to the ongoing outbreak of the novel Coronavirus (COVID-19), we are taking extra precautions with every client to confirm recent health + exposure history and have enhanced sanitation/disinfecting procedures in compliance with CDC guidance. Symptoms of COVID-19 include: fever, fatigue, dry cough, sore throat, shortness of breath. Please fill out this form at least 1 week prior to receiving services from us. Thank you for your cooperation!

Full Name

Associated Party Name

I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.

I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 14 days.

I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 14 days.

I affirm that I, as well as all household members, have not traveled outside of the country or to any city considered to be a “hot spot” for COVID-19 infections within the past 14 days.

I understand that Indigo Beauty Collective and Katie-Laine Thornton, makeup + hair cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

By signing below, I agree to each statement above and release Indigo Beauty Collective and Katie-Laine Thornton, makeup + hair from any and all liability for unintentional exposure or harm due to COVID-19.

I understand that this business service includes physical touch and close proximity over an extended period of time. Because of this, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving service from this business at this time, I voluntarily agree to assume those risks, and I release and hold harmless this business from any and all claims related to receiving service. I give my consent to receive service from this business.

Initials

Date

I declare that the info I’ve provided is accurate & complete.

Thanks for submitting!