Home
About Us
Our Services
Nail Care Services
Waxing Services
Gallery
Contact Us
Consent Form
Book Online
FACEBOOK
INSTAGRAM
GOOGLE REVIEWS
APPOINTMENT: (407) 788 - 7899 |
BOOK ONLINE
Home
About Us
Our Services
Nail Care Services
Waxing Services
Gallery
Contact Us
Consent Form
Book Online
CONSENT FORM
For our safety & health, please fill this form out each time you visit. Thank You.
First Name
*
Last Name
*
Your Email
*
Your Phone Number
*
Your Address
*
City/State/ZipCode
*
I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not, given the current limits in virus testing.
*
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 treatment/waxing services, that I have an elevated risk of contracting the virus simply by being in the salon.
*
By checking this box I understand and accept this statement.
I confirm that I am not presenting any of the following symptoms of COVOID-19 listed below:
*
Temperature above 98.7 degrees
Shortness of breath
Loss of sense of taste or smell
Dry cough
Sore Throat
Runny Nose
I confirm that I have not been around anyone with these symptoms in the past 14 days.
*
By checking this box I understand and accept this statement.
I do not live with anyone who is sick or quarantined.
*
By checking this box I understand and accept this statement.
To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the salon’s strict guidelines
*
By checking this box I understand and accept this statement.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And I understand that the CDC, OSHA and Florida Board of Cosmetology and Barbers recommend social distancing of at least 6 feet.
*
By checking this box I understand and accept this statement.
I verify that I have not traveled outside the United States in the past 14 days to countries that have been affected by COVID-19.
*
By checking this box I understand and accept this statement.
I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days.
*
By checking this box I understand and accept this statement.
Date
*
Time
*
Digital Signature
*
By typing and submitting, this serves as a Digital Signature and verifies that you fully agree to our safety policy for our services. This digital signature holds the same authority as a handwritten one. Thank you for visiting Fanci Nails.
Comment
Submit
Facebook
Google Review
Yelp Review
Instagram