1. 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 has it and who does not, given the current limits in virus testing.*

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2. I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of lash services, that I have an elevated risk of contracting the virus simply by being in the salon.*

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3. I confirm that I, not anyone I live with, is presenting any of the following symptoms of COVID-19 listed below:*

• Temperature above 37 degrees

• Shortness of breath / Difficulty breathing

• Loss of sense of taste or smell

• Dry cough

• Sore Throat

• Tiredness

• Aches and pains

• Diarrhoea

• Conjunctivitis

• Headache

• Rash on skin, or discolouration of fingers or toes

• Chest pain or pressure

• Loss of speech or movement

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4. I confirm that I am not displaying any of the above mentioned symptoms. Nor have I experienced any of the above in the past 14 days.*

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5. I do not live with anyone who is sick or quarantined.*

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6. To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the Lashes by Lu's strict guidelines. *

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7. I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus.*

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8. I verify that I have not traveled outside the South Africa in the past 14 days to countries that have been affected by COVID-19.*

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9. I verify that I have not traveled domestically within the South Africa by commercial airline, bus, or train within the past 14 days.*

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10. I agree to sanitise prior and after each appointment and wear a 3 Ply mask from entering Lashes by Lu premises until I leave.*

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11. I agree to notify Lashes by Lu immediately should I test positive for COVID-19.*

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12. I acknowledge that this form is required to be completed prior to every appointment and will do so in a timeous manner to ensure that this does not affect my treatment time.*

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13. I also agree to defend, indemnify and hold harmless the eyelash extension artist from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys’ fees which might be asserted against her as a result of my having this procedure performed, or my purchase of eyelash extension products from her.*

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Digital Signature *

Please type your full name below.

I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to treatment. I release my technician and /or Luscious Lashes International from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use.By typing and submitting, this serves as a Digital Signature and verifies that you fully agree to our safety policy for our services. This digital signature holds the same authority as a handwritten one.

 

Thank you.