When you arrive at your next appointment, you will be asked to fill out a brief symptom-checker survey as well as sign this waiver (in addition to our entrance policy which includes washing hands and wearing a face covering).

Screening survey:

in the last two weeks, did you care for or have close contact with someone diagnosed with Covid-19?

Have you travelled in the last two weeks?

Do you have any of the following symptoms: cough, shortness of breath, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell

COVID-19 WAIVER OF LIABILITY AND INDEMNIFICATION

                  (ADULTS 18 YEARS AND ABOVE)

Notice: This is a LEGALLY binding Agreement:

Please read this COVID-19 WAIVER OF LIABILITY AND INDEMINFICATION (“WAIVER”) carefully and in its entirety. This Waiver applies for all visits and salon services at Gwynne Mims Salon.  

ACKNOWLEDGEMENT OF RISK

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization.  COVID-19 is extremely contagious and is spread from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, personal disability, and death.

Gwynne Mims Salon (the “Salon”) has put in place preventative measures to reduce the spread of COVID-19; however, the Salon cannot guarantee that you will not become infected with COVID-19.  Further, any Salon service could increase your risk of contracting COVID-19.

WAIVER, RELEASE, INDEMNIFICATION & COVENANT NOT TO SUE 

IN CONSIDERATION FOR RECEIVING SALON SERVICES, I RECOGNIZE THAT I AM PUTTING MYSELF AT HIGHER RISK OF CONTRACTING COVID-19 AND I VOLUNTARILY ASSUME THE RISK OF SEVERE ILLNESS, PERSONAL INJURY, PERMANENT DISABILITY AND DEATH THAT IS ASSOCIATED WITH COVID-19. 

I FOR MYSELF AND MY FAMILY, MY HEIRS, MY REPRESENTATIVES, EXECUTORS, ADMINISTRATORS AND ASSIGNS HEREBY FOREVER RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE GWYNNE MIMS SALON, ITS OWNERS, INDEPENDENT CONTRACTORS, EMPLOYEES, SUCCESORS AND ASSIGNS (Collectively “RELEASED PARTIES”) FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, ACTIONS AND CAUSES OF ACTION AND SUITS IN EQUITY OF WHATEVER KIND AND NATURE DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATED TO COVID-19 WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE SPECIFICALLY RELATED TO COVID-19.

I FURTHER AGREE TO INDEMNIFY, DEFEND,AND HOLD HARMLESS THE RELEASED PARTIES FROM AND AGAINST ANY AND ALL COSTS, EXPENSES, DAMAGES, CLAIMS, LAWSUITS, JUDGMENTS, LOSSES AND/OR LIABILITES (INCLUDING ATTORNEY FEES) ARISING EITHER DIRECTLY OR INDIRECTLY FROM OR RELATED TO COVID-19 WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE SPECIFICALLY RELATED TO COVID-19.

BY SIGNING BELOW, I ACKNOWLEDGE AND REPRESENT THAT I HAVE READ THE FOREGOING WAIVER, I UNDERSTAND IT AND SIGN IT VOLUNTARILY AS MY OWN FREE ACT AND I AM VOLUNTARILY ASSUMING THE RISK. I am sufficiently informed about the risks involved.  No oral representations, statements or inducements apart from the written Waiver have been made.  I am at least eighteen (18) years of age and fully competent; and I execute this document for full, adequate, and complete consideration fully intending to be bound by the same. I agree that this Wavier shall be governed by and construed in accordance with Florida law, and that if any provisions hereof are found to be unenforceable, the remainder of the Waiver shall be enforced as fully as possible and the unenforceable provision(s) shall be deemed modified to the limited extent required to permit enforcement of the Waiver as a whole.

PRINT NAME:

SIGNATURE:

DATE: