First and Last Name (required)
Phone Number (required)
Date of Service (required)
Have you been in contact with a person with COVID-19, in quarantine, or have symptoms of COVID-19 within the past 14 days. (required) YesNo
I knowingly and willingly consent to have a nails, pedicure, eyelash, eyebrow waxing facial treatment during the Covid-19 pandemic. (required) By checking this box I understand and accept this statement.
I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of nail, pedicure, eyebrow, or eyelash services, that I have elevated the risk of contracting the virus by merely being in the salon. (required) By checking this box I understand and accept this statement.
I understand, read, and completed this questionnaire truthfully. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I understand that this document is to provide the best possible guest experience when visiting NOBLE NAILS SPA. I will not hold the salon responsible if I were contract COVID-19 infection around and during the time of services. Yes.