COVID-19 WAVIER FORM
Please read carefully and answered all questions true fully and honestly
Due to the Coronavirus (COVID-19), Shaleira Smith Bridal of Shaleira Smith Lifestyle LLC has taken education courses and extra precautions with the care of every client to include a health history COVID-19 review and have enhanced sanitation/disinfection procedures following the New York State Department of Professional and Occupational Regulation guidance.
Before each service being rendered each customer MUST complete, sign and submitted a Covid-19 Wavier Form, provided below, 24 hours before scheduled appointment/service
I understand that Shaleira Smith and Shaleira Smith Bridal of Shaleira Smith Lifestyle LLC 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.
Shaleira Smith Bridal of Shaleira Smith Lifestyle LLC is following these enhanced procedures to prevent the spread of COVID-19:
1. All customers will have their temperatures taken before the service being rendered. If your temperature is below or above 98.7 degrees, NO SERVICE WILL BE RENDERED and will be rescheduled to a later date.
2. All payment will be cashless until further notice
3. During your scheduled appointment with an artist from Shaleira Smith of Shaleira Smith Lifestyle LLC we ask that the artist and you are the only participants in the room. For makeup trials, you will have the option of having a private Zoom meeting. A code and password will be offered before your scheduled appointment.
4. Be advised disposables, mascara and lip wands, will the used.
5. Before service, your hands must be washed.
6. Please be advised a mask must be worn until asked to remove by the artist. Note the artist will be wearing a mask for the whole duration service being rendered.
7. If you contracted COVID-19 you must summit a negative test result. Service will only be rendered 30 days from your negative test date.
8. All tools and surfaces will be wiped thoroughly with hospital grade disinfectant before and after each client according to the manufacturer's directions.
Symptoms of COVID-19 include:
Fever Fatigue Dry Cough Lost of smell and/or taste Difficulty Breathing
I agree to the following:
□ 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 knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 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 30 DAYS.
□ I understand that Shaleira Smith and Shaleira Smith Bridal of Shaleira Smith Lifestyle LLC 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 with each statement above and release Shaleira Smith and Shaleira Smith Bridal of Shaleira Smith Lifestyle LLC from all liability for the unintentional exposure or harm due to COVID-19.
Shaleira Smith Bridal of Shaleira Smith Lifestyle LLC agrees to abide by these standards and affirms the same.