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COVID-19 & Liability Release Waiver

Due to the outbreak of Coronavirus (COVID-19), Lacey Pabst (Eyes Lips Lace Artistry, LLC) are taking extra precautions with the care of each client.

Symptoms of COVID-19 include:

  • Fever
  • Fatigue 
  • Dry Cough 
  • Difficulty Breathing

I agree to the following:

  1. I understand the above symptoms and I affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 5 days.
  2. I affirm that I, as well as all household members, haven not been diagnosed with COVID-19 within the past 5 days.
  3. I affirm that I, as well as all household members, have not traveled internationally or domestically within the last 5 days.
  4. I understand that Lacey Pabst (Eyes Lips Lace Artistry, LLC) cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the healthy history provided by each client.
  5. I am following these enhanced procedures to prevent the spread of COVID-19.
By signing below, I agree to each statement above and release Lacey Pabst (Eyes Lips Lace Artistry, LLC) from any and all liability for unintentional exposure of harm due to COVID-19. 

Additionally, by signing below, it is my choice to participate in this service/activity at the home of LaceyPabst (Eyes Lips Lace Artistry, LLC), I release from liability and waive my right to sue Lacey Pabst andEyes Lips Lace Artistry, LLC from any and all claims, including claims of the clients negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer or which may result from my participation in this service/activity, travel to and from the service/activity (including air travel), or any events incidental to this service/activity.
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ELECTRONIC SIGNATURE AND TRANSACTION DISCLAIMER: Unless expressly stated otherwise in a written communication in other than electronic form, or unless the author EXPRESSLY designates herein a written portion of this electronic message to be an “electronic signature” and clearly and unequivocally specifies the writing to which that electronic signature applies, nothing contained herein or in any communication in connection herewith shall satisfy the requirements for a writing, nor constitute a contract, an amendment of existing agreements, or electronic signature, as those terms are defined in or contemplated by the Electronic Signatures In Global and National Commerce Act, 15 U.S.C. Section 7001 et seq, or the Uniform Electronic Transaction Act as adopted by any state or any other statute governing electronic transactions.

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