COVID-19 Screening and Liability Waiver

Due to the 2019-2020 Coronavirus (COVID-19), Solace Day Spa is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfection procedures in accordance with the Arkansas Department of Health directives and guidance.

Symptoms of COVID-19 include:

- Fever
- Fatigue
- Dry Cough
- Difficulty Breathing

Solace Day Spa is following these enhanced procedures to prevent the spread of COVID-19:

- Prepayment for services available if clients prefer contactless checkout
- Additional time included between appointments to prevent client contact with each other
- Guests accompanying those scheduled for services discouraged
- Each client required to wash hands upon arrival and before leaving
- Your service provider will thoroughly clean hands prior to and following all services
- Your service provider will wear a clean cloth mask for each client
- All skincare product bottles used during treatment will be placed on the trolley for disinfection and disposable items will be used when possible
- All surfaces will be wiped thoroughly with hospital grade disinfectant before and after each client according to the manufacturer’s directions

By signing below, I agree to each statement above and release Solace Day Spa from any and all liability for the unintentional exposure or harm due to COVID-19.

Name*
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Email*

I agree to the following:*
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I understand the above symptoms and affirm that I, as well as all household members, 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 PAST 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 PAST 30 DAYS.
I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 30 DAYS.
I understand that Solace Day Spa cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.
Signature*

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COVID-19 Liability Release Waiver

Solace Day Spa agrees to abide by these standards and affirms the same.

All information above is accurate and I have read and understand all of the above.