Please print a copy of this page and bring it with you! Thank you
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I agree to the following:
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* I understand the above symptoms and confirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.
* All household members, have not been diagnosed or have been exposed with COVID-19 within the past 30 days.
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* I understand that Divine Harmony Healing and G Fontana Salon Studio cannot be held liable for any exposure to the
COVID-19 virus as I have decided to come here on my own free will and will not hold them responsible should I contract COVID-19.
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I understand that:
* Physical distancing of 6 ft. is not possible while receiving energy healing services.
* A mask must be worn while laying face up during treatment and when entering and leaving the treatment room.
* Hands must be washed and sanitized my hands before entering the treatment Room.
* In the event of coughing or sneezing hand must be immediately sanitized!
* I may not bring children to your healing session.
* Our establishment has and will continue to be sanitized and safe according to the CDC guidelines.
* I understand that we will do everything possible to minimize the spread of COVID-19, by sanitizing the table and room and will be wearing a mask during your treatment.
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Signature________________________________________________ Date__________________________________