101 Ulster Court #103 Denver, CO 80230
720-767-BROW
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Home
About
Blog
Menu
COVID 19 Sign-In
Shop
Contact
Menu
Home
About
Blog
Menu
COVID 19 Sign-In
Shop
Contact
Book Now
Appointment Date
Your Name
Beauty Technician
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Tonie Jones
Kaitilin Roarke
Have you travelled out of the state in the last 14 days?
Yes
No
If yes, where did you travel to?
In the past 14 days have you had contact with a person who has COVID-19, tested postive for COVID-19, or have traveled to high-risk regions?
Yes
No
In the past 14 days have you or anyone in your household had flu-like symptoms, body aches, chills, cough, shortness of breath, or fever? *
Yes
No
Do you have a fever or are you experiencing body aches or chills?
Yes
No
Do you have respiratory symptoms such as cough or shortness of breath? *
Yes
No
Acceptance
I have answered these questions truthfully. After assessing the degree of risk associated with getting my service completed at this time and the precautionary measures in place, I hereby release my provider from any liability by the broadest release allowed by law. I understand that if at any time I feel uncomfortable proceeding with my appointment for any reason, or if my health or risk of exposure changes, it is my responsibility to notify my stylist immediately and reschedule my appointment.
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