Please take a moment to complete our consent form.
By submitting the form below you agree to knowingly and willingly consenting to have hair/skin/body service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.

• Temperature above 98.7 degrees
• Shortness of breath
• Loss of sense of taste or smell
• Dry cough
• Sore Throat

Date *

Please enter today's date.

Please type your full name below. 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.