Health Declaration

Please take a moment to complete our consent form.  By submitting the form below you agree to knowingly and willingly consenting to have class or  service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.
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Please answer the following questions :

Are you experiencing any fo the following symptoms? Fever, Cough, Shortness of Breath or Difficulty Breathing, Runny Nose, Sore Throat.
Did you provide care or have close contact with a person with confirmed COVID-19 ?
Are you living with anyone who is sick or quarantined ?
Did you travelled outside of Canada in the last 14 days ?
Did you had close contact with a case of Covid-19 in the last 14 days ?

To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the spa strict guidelines.  I have received the COVID-19 important guidelines from Aesthetics Pro.

I have been given the option to defer my class or service to a later date. However, I understand all the potential risks, including but not limited to the potential short-term and long-term complications related to COVID-19, and I would like to proceed with my desired class and service.

Your Signature

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