COVID-19 WAIVER

1. You agree to reschedule if you cared for someone diagnosed with COVID-19 or you have experienced any cold or flu-like symptoms within 14 days of the appointment.
I AgreeI Disagree

2. You agree to have your temperature taken at the time of your appointment and reschedule if you have a temperature of 100.4 or greater.
I AgreeI Disagree

3. You agree to wear a mask at the time of your appointment.
I AgreeI Disagree

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by my mere presence within this establishment and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families. I hereby release the booked business from any and all claims arising from or in connection with any direct COVID-19 impact while visiting.

I hereby Agree to all of the above.

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