Body Sculpting and Contouring

COVID Waiver

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Lotus Body Sculpting

Lotus Body Sculpting

COVID-19 LIABILITY RELEASE WAIVER

COVID-19 LIABILITY RELEASE WAIVER

THIS FORM MUST BE COMPLETED AND SIGNED BEFORE TREATMENT

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which adheres to comply.

Symptoms of COVID-19 include:

Fever
Fatigue
Dry Cough
Difficulty Breathing

I agree to the following:

I, nor members of my household, have not experienced any of the symptoms listed above within the last 14 days.

I, nor members of my household, have not travelled internationally in the last 30 days.

I, nor members of my household, do not believe that we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus (COVID-19).

I, nor members of my household, have not been diagnosed with the Coronavirus (COVID-19) within the last 30 days.

The venue cannot be held liable from any exposure to the Coronavirus (COVID-19) caused by misinformation on this form or the health history provided by each client.

I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of these services that I have an elevated risk of contracting the virus simply by being in the establishment.

To prevent the spread of the contagious virus and to help protect each other, I understand that I must follow the establishment's guidelines:

Reschedule appointment if you are feeling unwell;
No additional guest is allowed;
Wearing a mask is required upon arrival and during the entire procedure;
Wash hands upon arrival;
Limit conversation during the procedure.

By signing below, I agree to each above statement and release the venue and its employees from any and all liability for the unintentional exposure or harm due to Covid-19 and other communicable conditions.

Date

Client Name (Printed)