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Question 1
1
Hello!
Thank you for considering Blissful Image for your Appearance Enhancement service. Please take the time to complete this General Consent form in its entirety. Blissful Image requires a consent form for every service offered.
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Please enter your full name, phone number, address, email & birthdate below.
This question is required.
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Question 2
2
Covid Liability Release Form
Due to Covid, Blissful Image takes precautions with intake of each client & cleanliness within each appointment. Please read completely and enter your name below in place of your signature.
- I have not had any communicable illnesses in the last 14 days, including but not limited to Covid related symptoms.
- I and everyone in my household have not had any symptoms or have been exposed to anyone with any symptoms the last 14 days.
-I understand that Blissful Image/Sharlyn Cruz-Marquez will not be held liable for any exposure to any virus or any contagion caused by misinformation on this form or the health history provided by clients.
-By entering my name below, I agree to each above statement & release Blissful Image/Sharlyn Cruz-Marquez from any and all liability for the unintentional exposure.
Please enter your name & date below:
This question is required.
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