By receiving service with Sapphire Beauty Lounge, I acknowledge the contagious nature of COVID-19/Coronavirus and that the CDC and other public health authorities still recommend practicing social distancing.

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I further acknowledge that Sapphire Beauty Lounge cannot guarantee that I will not become infected with COVID-19/Coronavirus and voluntarily seek services provided by Sapphire Beauty Lounge; which is increasing my risk to exposure toCOVID-19/Coronavirus. I acknowledge that Sapphire Beauty Lounge has put in place preventative measures to reduce the spread of COVID-19/Coronavirus, and I must comply with all set procedures put forth by Sapphire Beauty Lounge to reduce the spread while attending my appointment.

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I certify that:

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*I have not had a fever or any symptoms consistent with COVID-19/Coronavirus (cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell) in the last 72 days.

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*I have not been in contact with anyone who has had a fever or symptoms of COVID-19/Coronavirus in the last 14 days.

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*I have not traveled to a highly impacted area within the United States of America or traveled internationally within the last 14 days.

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If you agree to the terms, please confirm below: