House of Excellence

COVID-19 hair consent form

House of Excellence COVID-19 Hair Consent Form


, knowingly and willingly consent to hair service(s) during the COVID-19 pandemic.

Please initial the following:

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 testing.

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

I confirm that I am not presenting any of the following symptoms of COVID-19 listed below:

- Shortness of breath

- Loss of sense of taste or smell

- Dry cough

- Sore throat

Upon entering the salon, I agree to have my temperature checked

I confirm that I have not been around anyone with these symptoms in the past 14 days.

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

To prevent the spread of the contagious virus and to help protect each- other, I understand that I will have to follow the salon’s strict guidelines.

I understand that the CDC, OSHA and New Jersey State Board of Cosmetology and Barbers recommend social distancing of at least 6 feet.

I verify that I have not traveled outside of the United States in the past 14 days to countries that have been effected by COVID-19.

I verify that I have not traveled domestically within the United States by commercial airline, bus, or train within the past 14 days.