MaxCharles Hair Studio

COVID Client Waiver Form

 

We at MaxCharles Hair Studio are doing everything we can to protect you, our clients, as well as our stylists. To this extent, we will be following the Center of Disease Control (CDC), local health department as well as the New Hampshire Board of Barbering, Cosmetology, and Esthetics guidelines with regard to social distancing practices as well as the cleaning and disinfection of our salon in order to reduce the spread of Novel Coronavirus, or COVID-19.

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Due to the latest CDC Guidelines and City of Portsmouth mandates, we are requiring ear-looped masks to be wore by all individuals. 

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We continue to disinfect our salon hourly and our stations and backwash stations between each client. We continue to run air purifiers all day and night as well as offer plastic station separators if preferred by our client. 

 

By signing this waiver, you attest that you are clear of the following symptoms and situations within the last 14 days leading up to your appointment:

 

• Fever of 99 degrees or above, or possible fever symptoms like alternating chills and sweating

• Cough

• Trouble breathing, shortness of breath or sever wheezing

• Chills or repeated shaking with chills

• Muscle aches

• Sore throat

• Diarrhea

• Loss of smell or taste, or a change in taste

• Headache  

• Have had contact with an individual who has shown signs of the above symptom within the past 14 days

• Have been around anyone with confirmed COVID within the past 14 days

 

Upon entering the building MaxCharles reserves the right to take your temperature using our touchless thermometer. If you have a temperature of 99 degrees or above, we reserve the right to refuse service and ask you to leave immediately. You can rebook your appointment after 10 days or by providing proof of a negative COVID test.   

 

At any time during our contact with you, if we feel you are not complying with the rules stated above, show signs of illness or are in any way combative we reserve the right to refuse service and will ask you to leave immediately.

 

By signing this waiver, you understand that by entering a business open to the public, you are susceptible to the risk of exposure to any illness including but not limited to, the Coronavirus also known as COVID-19 and will not hold MaxCharles LLC liable for any symptoms of illness following your contact with us and will contact us if you do develop symptoms within 14 days after your visit.

 

 

By signing below, you agree to comply with the written instructions above.