health declaration form

 

The salon is required by law to keep a contact log of clients and their information in the circumstance of a reported case of Corona Virus in the salon. By filling in this form you are giving us permission to keep your information for this purpose. This information is sensitive and only used for contact log purposes. 

To ensure the Safety & Health of all people interacting with (insert Salon Name), clients and visitors must complete this declaration form prior to entering or on arrival our salon. If you indicate to us you have symptoms of COVID-19 OR you have been abroad in the last 14 days with exception to Northern Ireland you will be required to either restrict your movements or self-isolate. Where this is the case, you are prohibited from entering the salon/barber shop and advised to seek professional medical help/ assistance in line with HSE Guidelines.

Please complete the form below