COVID-19 PANDEMIC CONSENT FORM

Please take a moment to complete our consent form. By submitting the form below you agree to knowingly and willingly consenting to have brows/lash/skin/body service during the COVID-19 pandemic. We reserve the right to refuse service if this form is not submitted.

Please fill out this form on the date of your appointment. Thank you

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1. I knowingly and willingly consent to having nail and salon service(s) during the COVID-19 pandemic.

2. 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. It is impossible to determine who has it, and who does not give the current limits in virus testing.
 

3. I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of nail

    services, that I have elevated the risk of contracting the virus by merely being in the salon.

4. I confirm that I’m not presenting any of the following symptoms of COVID-19 listed below:

         • Temperature above 98.7 degrees
         • Shortness of breath or difficulty
         • Loss of sense of taste or smell
         • Sore throat
         • Cough
         • Repeated shaking with chills

5. I have been made aware of the CDC guideline that nail services are not essential and can be avoided, and I willingly agree to

    accept service.

6. I confirm that I have not been around anyone with these symptoms in the past 14 days.

7. I verify that I have not traveled outside of the United State in the past 14 days to countries that have been affected by COVID-19.

8. I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days.

I hereby release the booked business from any and all claims arising from or in connection with any direct COVID-19 impact while visiting.  

Your Signature

BELLAS NAIL SPA 2099 S. Atlantic Blvd. STE E, Monterey Park CA 91754 323.264.6713

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