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Covid-19 Health Declaration

How are you feeling today?

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I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. 
I further acknowledge that MO ISO has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.


I further acknowledge that MO ISO can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.


I voluntarily seek services provided by MO ISO and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.

Are you currently experiencing or have you experienced within the past 14 days, any of the below COVID-19 symptoms?

A high temperature?

A high temperature means you feel hot to touch on your chest or back (you do not need to measure your temperature)

A new continuous cough?

A new continuous cough means coughing for longer than a hour, or three or more coughing episodes in 24 hours. If you usually have a cough, it maybe worse than usual.

A loss of,or change in, your normal sense of taste or smell?

A loss of sense of smell or taste means you have noticed you cannot smell or taste anything or things smell or taste different to normal

Have you tested positive for COVID-19 in the last 14 days?
Do you live with someone that has tested positive fo or has experienced symptoms of COVID-19 in the last 14 days?
Has anyone in your support bubble tested positive for or has experienced symptoms of COVID-19 in the last 14 days?
Have you been directed to self-isolate by the NHS test and trace service due to potential exposure to COVID-19 in the last 14 days?
Have you travelled overseas in the past 14 days to a country (UK Government latest list of exempt countries) that requirea quarantining upon returning to the UK?

I hereby release and agree to hold MO ISO harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from MOISO.

 

I understand that this release discharges MO ISO from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from MO ISO. This liability waiver and release extends to the salon together with all owners, partners, and employees.

Thanks for submitting!

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