COVID-19 Release of Liability & Waiver

Name*

First Last

Date*

Phone*

Email*

Have you or anyone in your household had a fever higher than 100.4 degrees in the last 14 days?*

Yes
No

Have you or anyone in your household had a cough in the last 14 days?*

Yes
No

Are you or anyone in your household currently waiting for COVID-19 test results?*

Yes
No

Have you or anyone in your household been exposed to anyone with a positive COVID-19 test within the last 14 days?*

Yes
No

Consent*

I agree to the statements below and acknowledge that the answers to the questions above are true and correct.

RELEASE OF LIABILITY

We all know that these are uncertain times. The risks of COVID-19 are not well understood and there is controversy among the experts on how the virus can spread and difficulty in scientifically determining whether anyone has the virus at any moment in time.

In consideration for providing any service in our salon and spa, by signing below you agree to accept all responsibility for the risk that you may contract COVID-19. While we are taking your safety and that of our staff very seriously by employing new safety and sanitation initiatives, we cannot guarantee that any of these measures will completely protect you from contracting COVID-19.

I agree that if I take any steps to make a claim for damages against Graeber & Company Salon and Day Spa, its agents, employees or any other released parties arising out of my receipt of any salon and spa services during my visit to Graeber & Company Salon and Day Spa’s facilities, I shall be obligated to pay all attorneys’ fees and any additional costs incurred as a result of such claim.

I agree to follow all safety and sanitation protocols put into place by Graeber & Company Salon & Day Spa and acknowledge that there will be a $2.50 sanitation fee added to each transaction. By signing this Agreement, I acknowledge that I am free to go to other salons and spas who may not require as high of safety protocols or my agreement to accept responsibility for contracting COVID-19.

Name

First Last

COVID-19 Release of Liability and Waiver