We are sending out this document a few days before your appointment
Blooming Day Spa Policies and Protocols
Please thoroughly read; initial and sign on second page
• Please come to your appointment wearing a mask. If you do not have one, there will be a clean sanitized one hanging on the mailbox next to the spa’s front door
• Please limit the surfaces you touch, we will open and close the front door for you
• We have added extra time in between appointments, so that we have time to sanitize all high touch areas (massage table, furniture, clipboards and pens, bathroom, etc)
• We will continue to wash our hands up to elbows thoroughly before and after each appointment, and use a new set of sheets and blanket per client
• You do not have to wear a mask when face down, but please place your mask for easy access for your therapist. He/she will ask you to wear your mask when face up.
Please initial the following, if you answer yes to any of these questions please call to reschedule your appointment. We are only charging our cancellation fees for no shows & cancellations less than 24hrs (not a hard line if you start to feel unwell) before your appointment, so please contact as soon as possible if you will not be able to make your appointment. We have the right to refuse service and charge our cancelation fee, if you come to your appointment and seem unwell.
Initial:
____ In the last 2wks, I have not been in contact w/anyone who has/appears to have Covid19
____ In the last 2wks, I have not tested positive or thought that I may have Covid 19
____ In the last 2wks, I have not run a fever or currently have a fever above 100*
____ I feel in good health without these symptoms: dry cough, shortness of breath, sore throat, loss of sense of smell or taste, diarrhea, vomiting
____ If I end up with Covid-19 within 14 days after receiving services from Blooming Day Spa, as a courtesy, I will notify the spa.
Assumption of Risk of Exposure to COVID-19. By engaging in these services, I am aware that I agree to fully accept all known and unknown risks, including the potential risk of exposure to respiratory illnesses or other illnesses, diseases, or conditions, including but not limited to the coronavirus known as COVID-19. The coronavirus COVID-19 is primarily transmitted via exhaled respiratory droplets, most often through coughing, sneezing and breathing in close proximity to another person. These droplets can travel up to six feet and are more commonly transmitted between persons rather than from equipment to persons. Although Blooming Day Spa is complying with state laws, executive orders by the governor, federal laws, local laws, and CDC guidelines regarding cleaning, disinfecting and practices which reduce the potential for exposure to COVID-19, I understand that I may be exposed to COVID-19 or its symptoms through no fault of the Blooming Day Spa’s. Known coronavirus symptoms include fever, coughing, shortness of breath, pneumonia, kidney failure, and may include additional or other symptoms, stroke or even death (collectively referred to as "Symptoms"). I understand and agree to hold Blooming Day Spa harmless and not liable for any real or perceived Symptoms of COVID-19 or any other disease, illness, or condition, nor for exacerbating any existing Symptoms of any illness, disease or condition, and I fully agree to accept these and all other known and unknown risks of receiving services from Blooming Day Spa.
Page 1
I have carefully read this document, understanding Blooming Day Spa’s new policies and protocols and by signing below I consent to all parts of it. I understand that by signing this Release and Waiver, I voluntarily surrender certain legal rights.
Signature:______________________________________________________________
Name: ________________________________________________________________
Address:_______________________________________________________________
City: ____________________________ State: ____________ Zip: ________________ Date: _________________________________________________________________
Blooming Day Spa Policies and Protocols
Please thoroughly read; initial and sign on second page
• Please come to your appointment wearing a mask. If you do not have one, there will be a clean sanitized one hanging on the mailbox next to the spa’s front door
• Please limit the surfaces you touch, we will open and close the front door for you
• We have added extra time in between appointments, so that we have time to sanitize all high touch areas (massage table, furniture, clipboards and pens, bathroom, etc)
• We will continue to wash our hands up to elbows thoroughly before and after each appointment, and use a new set of sheets and blanket per client
• You do not have to wear a mask when face down, but please place your mask for easy access for your therapist. He/she will ask you to wear your mask when face up.
Please initial the following, if you answer yes to any of these questions please call to reschedule your appointment. We are only charging our cancellation fees for no shows & cancellations less than 24hrs (not a hard line if you start to feel unwell) before your appointment, so please contact as soon as possible if you will not be able to make your appointment. We have the right to refuse service and charge our cancelation fee, if you come to your appointment and seem unwell.
Initial:
____ In the last 2wks, I have not been in contact w/anyone who has/appears to have Covid19
____ In the last 2wks, I have not tested positive or thought that I may have Covid 19
____ In the last 2wks, I have not run a fever or currently have a fever above 100*
____ I feel in good health without these symptoms: dry cough, shortness of breath, sore throat, loss of sense of smell or taste, diarrhea, vomiting
____ If I end up with Covid-19 within 14 days after receiving services from Blooming Day Spa, as a courtesy, I will notify the spa.
Assumption of Risk of Exposure to COVID-19. By engaging in these services, I am aware that I agree to fully accept all known and unknown risks, including the potential risk of exposure to respiratory illnesses or other illnesses, diseases, or conditions, including but not limited to the coronavirus known as COVID-19. The coronavirus COVID-19 is primarily transmitted via exhaled respiratory droplets, most often through coughing, sneezing and breathing in close proximity to another person. These droplets can travel up to six feet and are more commonly transmitted between persons rather than from equipment to persons. Although Blooming Day Spa is complying with state laws, executive orders by the governor, federal laws, local laws, and CDC guidelines regarding cleaning, disinfecting and practices which reduce the potential for exposure to COVID-19, I understand that I may be exposed to COVID-19 or its symptoms through no fault of the Blooming Day Spa’s. Known coronavirus symptoms include fever, coughing, shortness of breath, pneumonia, kidney failure, and may include additional or other symptoms, stroke or even death (collectively referred to as "Symptoms"). I understand and agree to hold Blooming Day Spa harmless and not liable for any real or perceived Symptoms of COVID-19 or any other disease, illness, or condition, nor for exacerbating any existing Symptoms of any illness, disease or condition, and I fully agree to accept these and all other known and unknown risks of receiving services from Blooming Day Spa.
Page 1
I have carefully read this document, understanding Blooming Day Spa’s new policies and protocols and by signing below I consent to all parts of it. I understand that by signing this Release and Waiver, I voluntarily surrender certain legal rights.
Signature:______________________________________________________________
Name: ________________________________________________________________
Address:_______________________________________________________________
City: ____________________________ State: ____________ Zip: ________________ Date: _________________________________________________________________