Please fill in your name and email address below. Then read the form, click the consent box, and sign at the bottom. We look forward to seeing you soon.

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    COVID-19 Liability Release Form

  • MM slash DD slash YYYY

    Due to the global pandemic outbreak of COVID-19 and for the safety and protection of the health of our staff, stylists, and clients we are implementing additional safety measures incompliance with the safety precautions published by the Center for Disease Control and the Kansas Department of Health and Enviornment.
    Symptoms of COVID-19:
    • Fever
    • Fatigue
    • Dry Cough
    • Difficulty Breathing
    (While Runny Nose is not a typical symptom of COVID-19 we still ask clients stay home if they have this symptom.)
    • All clients will have their temperature taken prior to any services.
    • All clients must wash their hands prior to any services.
  • Section 1

    • I understand that the above symptoms and affirm that I, as we ll as all of those living with me 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 last 30 days.
    • I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the last 14 days.
    • I understand that The Glossary Salon stylists, staff, and all others will not be held liable for any exposure to COVID-19 or any other contagion.
    • WAIVER AND RELEASE, I HEREBY WAIVE ALL CLAIMS AND FOREVER RELEASE The Glossary Salon, including its officers, directors, employees, successors, assigns, agents, heirs, representatives, and volunteers as applicable, in their individual or corporate capacities, of all claims, liabilities, agreements, and causes of action of any nature due to any injury, loss, or damage to person or property, that may arise out of my services performed at the Glossary Salon.

    By signing below, I agree to the above statements and release The Glossary Salon, its staff and practitioners from any and all liability for the unintentional exposure or harm due to COVID-19.
    The stylist and all employees of The Glossary Salon agree to abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly prevent the spread of COVID-19 and other communicable conditions. For the time being all clients will be asked to wear a mask at all times and asked to wash their hands prior to the start of their service.
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