Rapunzel Hair Design Medical Liability Waiver

Here at Rapunzel Hair Design we are taking every precaution to ensure your safety and the safety of our staff from COVID-19. Rapunzel Hair Design has put in place preventative measures to reduce to spread of COVID-19; however we cannot guarantee that you will not have potential contact. Please carefully read the following statements, initial and sign upon your understanding and agreement.

____ I am, to the best of my knowledge, healthy and free of any symptoms of COVID-19. This includes fever, cough, aches, sore throat, or general malaise.

____ I understand Rapunzel is not held accountable if any trace of COVID-19 infection if traced back to this location and appointment time.

____ I waive all responsibility of Rapunzel Hair Design for any possible future liability for any exposure claims of COVID-19.

____I give Rapunzel Hair Design permission to take my temperature, and if I have a temperature of 99.0°F or higher I will forfeit my scheduled appointment and reschedule to two week.  

 

Upon signing, I agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or any family members, (including but not limited to personal injury, disability, or death) illness, damage, loss, claim liability or expense, of any kind, that I may experience or incur in connection with this appointment at Rapunzel Hair Design, and ALL FUTURE appointments.

 

 

 

 

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