Name *

First Name

Last Name

Phone *

(###)

###

####

Please provide the name of the child in which you give parental consent.

First Name

Last Name

Please provide the name of the child in which you give parental consent.

First Name

Last Name

Please provide the name of the child in which you give parental consent.

First Name

Last Name

Date *

MM

DD

YYYY

ACKNOWLEDGEMENT *

I acknowledge that I have received the Changes to Salon Services & COVID-19 Minimum Standard Health Protocol implemented by Lovi's Beauty Lounge.  I have reviewed the contents and understand its' terms.  I consent to receive services performed during the COVID-19 Pandemic and will adhere to all safety and sanitation protocols required by all supervising government agencies & Lovi's Beauty Lounge.  I understand that I am entering the salon at my own risk and releasing Lovi's Beauty Lounge from any liability relating to COVID-19. I further understand that failure to comply with these written instructions or verbal instructions from staff may result in removal from the premises and refusal to service you in the future.

AGREE