COVID-19 Liability Release Waiver
Due to the outbreak of the novel Coronavirus (COVID-19), Blend House Studio is doing everything we can to protect you, our clients, our community and our staff. To this extent, Blend House Studio will be following the Center of Disease-Control (CDC) and the State of Hawaii's guidance with regard to social distancing practices and sanitation. We ask that our clients disclose their health history and continue to implement these sanitation and disinfection procedures.
Symptoms of COVID-19 include:
Please Initial the following in agreement:
__ 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, have not traveled to a highly impacted area within the United States of America is 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 or themselves have been diagnosed with the Coronavirus (COVID-19) in the last 30 days.
__ Blend House Studio 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.
__ If I take any steps to make a claim for damages against Blend House Studio, its agents, employees or any other released parties, I shall be obligated to pay all attorney’s fees and costs incurred as a result of such claim.
Blend House Studio is following these enhanced procedures to prevent the spread of the Coronavirus (COVID-19)
By signing below, I hereby release and agree to hold Blend House Studio harmless from and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damages or loss to myself and/or property that may be caused by any act, or failure to act of the barbershop, or that may otherwise arise in any way in connection with any services received from Blend House Studio. I agree to release Blend House Studio from any and all liability for the unintentional exposure or harm due to the Coronavirus (COVID-19)
Blend House Studio agrees to abide by these standards and affirms the same.
Date:___________ Name:_______________________ Signature:_____________________
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