top of page
Nails by Ann & Lounge Covid-19 Consent Form
By submitting the form below you agree to knowingly and willingly consenting to have nails/waxing/lash services during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you!
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, given the current limits in virus testing.
I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of the salon services, that I have an elevated risk of contracting the virus simply by being in the salon.
I confirm that I am not presenting any of the following symptoms of COVID-19 listed below: • Temperature above 98.7 degrees • Shortness of breath • Loss of sense of taste or smell • Dry cough • Sore Throat
I confirm that I have not been around anyone with these symptoms in the past 14 days.
I do not live with anyone who is sick or quarantined.
To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the salon’s strict guidelines.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And I understand that the CDC, OSHA and California Board of Cosmetology and Barbers recommend social distancing of at least 6 feet.
I verify that I have not traveled outside the United States in the past 14 days to countries that have been affected by COVID-19.
I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days.
If I have children and they are recieving a service, I understand that they are my responsibility and will adhere to these verifications
CONSENT TO SERVICE: by checking below, you agree to the following Required

Please sign below. By signing and submitting, this serves as a Digital Signature and verifies that you fully agree to our safety policy for our services. This digital signature holds the same authority as a handwritten one. Thank you.

Thanks for submitting!

bottom of page