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Covid-19 Health Declaration
Please complete on arrival at the salon
First Name
Last Name
Email
My body temperature is lower than 98.6°F/ 37.5°C
I am not experiencing any symptoms commonly associated with COVID-19 (Fever, cough, fatigue, muscle pain, difficulty breathing, sore throat, lung infections, headache, loss of taste.
I haven’t been in close contact with a Covid-19 patient in the last 14 days
I have not tested positive or am presumptively positive with the Coronavirus or been identied as a potential carrier.
Date
I declare that the info I’ve provided is accurate & complete
Your Signature
Clear
Submit
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