Statement of Health Please read and 'sign' the following certification statement prior to the start of your service: I, , have not been quarantined within the last 14 days due to COVID-19 symptoms or illness, and I am not showing symptoms today. Additionally, I do not have a cough. I do not have a fever. I have not been around anyone exhibiting these symptoms in the past 14 days. I am not living with anyone who is sick or quarantined. If I start to show symptoms of COVID-19 within 7 days, I will contact my stylist/barber and the salon or barbershop owner. Electronic Signature - type your full name in ALL CAPS (required) Date (required) Your Email Address (required) Your Phone Number (required) This form will be emailed to the front desk.