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Please complete the following form as part of our entrance-screening process. No Yes
Are you feeling unwell? [radio* isUnwell use_label_element default:1 "No" "Yes"]
Have you been in contact with anyone who is feeling unwell? [radio* hasContactedUnwell use_label_element default:1 "No" "Yes"]
Are you waiting to be tested for Covid-19? [radio* isWaitingToBeTested use_label_element default:1 "No" "Yes"]
Are you waiting for the results of a Covid-19 test? [radio* isWaitingForResults use_label_element default:1 "No" "Yes"]
Are you supposed to be in isolation, including isolation because of your children were asked to isolate because of exposure to Covid-19? [radio* isIsolating use_label_element default:1 "No" "Yes"]
Have you been in contact with anyone that:
Has or had Covid-19 within 14 days?
Is waiting to be tested for Covid-19?
Is waiting for their Covid-19 test result?
Travelled to or arrived in Alberta within the past 14 days?
Do you have any cuts, abrasions or infections including warts or fungus on your hands, feet or nails? NoYes
First name
Last name
Email
Phone number
Will you be using any redemption/promo codes for your visit? NoYes
Any existing gel polish needing removal? NoYes
Upgrades (different color/nail art/gel overlays/sugar scrubs/paraffin) to the included solid color gel polish? NoYes
Should any of the above change please contact us to reschedule.
Details to note prior to booking services are as follows:
All food, drinks and non essential items are not permitted during your appointment.
We kindly ask any clients that are unwell, have or had been by anyone unwell including kids in school, in isolation, has travelled or scheduled for or awaiting Covid 19 test results, to kindly reschedule to a later date.
Please arrive no earlier than 5 minutes of your appointment time with your face mask on.
Prior to your services all clients must utilize touchless temperature scan, the hand sanitizer, mobile devices disinfectant and replacement of your existing face mask with a new complimentary one provided. (Exceptions: A New KN95 or N95 Face Mask)
Thank you we appreciate your understanding in keeping yourself and others safe and comfortable during your services at Live To Dye Salon.