WAIVERSFill this out on the SAME DAY as your appointment. If you fill it out the day before, you’ll be doing it twice. Name * First Name Last Name Date of Birth * MM DD YYYY I am over the age of 18 * Yes CONTACT INFO Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * COVID SCREENING Please indicate if you have any of the following symptoms today, or within the last 14 days. * shortness of breath fever cough chills sore throat I've experienced no symptoms related to Covid-19. Have you been around anyone with these symptoms in the last 14 days? * Yes No If so, please explain. I confirm that I'm doing this of my own free will. I know I can stop the procedure at any time, including right now. * I understand I agree to release the artist, the studio, and it's owners, heirs, parters, agents, employees, contractors and affiliates of all claims and liabilities agains them. * I agree By submitting this form I agree to the terms of this legal document and any false information will be considered mis-representation and fraud. * I understand I have eaten before coming in today. * Yes No Thank you!