Adult guardians of minor clients will be asked to sign this upon arrival to the salon.

By signing this form, you, the guardian of the client confirm that the client has not experienced symptoms of COVID-19 (fever, chills, cough, shortness of breath, difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea) not due to pre-existing conditions. You also agree to have the client’s temperature monitored upon arrival. If you are not willing or able to confirm and accept these conditions, you and your ward(s) will not be permitted to enter the salon, and may be charged in full for cancelation of the appointment.

 

Entry into Alex Provenzano Salon (“the Salon”) could increase your risk and your ward(s)’s risk of contracting and transmitting COVID-19. For purposes of this release, waiver, and covenant, you must assume that whatever is being done to protect you and your ward(s) will not be sufficient. If you are not willing to assume the risk, release all claims, and promise not to sue, you and your ward(s) are not permitted to enter the Salon or receive any services provided by the Salon, and you may be charged in full for cancelation of the appointment.

___________________    ____________________________

 Name of ward                   Name of Guardian

___________________    ____________________________

 Date                                  Signature of Guardian

ADDRESS

901 15th St. NW Suite 110

Washington, D. C 20005

Tel: (202) 785-0468

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