The Fox Guild

Name *

First Name

Last Name

I knowingly and willingly consent to have hair and salon service(s) during the COVID-19 pandemic. *

By checking this box I understand and accept this statement.

To prevent the spread of contagious viruses and to help protect each other, I understand that I must follow the salon's strict guidelines. *

By checking this box I understand and accept this statement.

I understand that air travel significantly increases my chances of contracting and transmitting the Covid-19 virus. I know that the CDC, OSHA, and Washington State Board of Cosmetology recommend social distancing of at least 6ft. To accept salon services, proximity will necessarily be much closer. *

By checking this box I understand and accept this statement.

Have you been in contact with someone who is currently infected, suspected or diagnosed with Covid-19 within the last 14 days? *

Yes

No

I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of hair services , that I have elevated the risk of contracting the virus by merely being in the salon company. *

By checking this box I understand and accept this statement.

I understand the Covid-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who is not a carrier given the current limits in virus testing. *

By checking this box in understand and accept this statement.

Have you traveled outside the United States within the last 14 days to areas that have been affected by Covid-19? *

Yes

No

Have you traveled domestically within the United States by commercial airline, bus, or train within the last 14 days. *

Yes

No

***In Salon Symptoms Policy*** I agree to not come to the salon with the following symptoms of Covid-19 listed below: Fever-Temperature, shortness of breath, loss of sense of taste or smell, dry cough, runny nose, sore throat. *

By checking this box I understand and accept this statement.

I have read, understood, and completed this questionnaire truthfully. I agree that this constitutes full disclosure and that it supersedes any previous written or verbal disclosures. I understand this document is to provide the best possible guest experience when visiting The Fox Guild Studio. *

By checking this box I understand and agree to this statement.

Signature: Please enter first and last name in the boxes below.

First Name

Last Name

Have you actively participated in recent protest gatherings with groups of 5 or more? *

Yes

No