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Please fill out the declaration prior to your booked appointment and take the time to
read through the
Salon Protocols
prior to your visit to the salon
Thank you
Covid-19 Health Declaration
This must be completed prior to your appointment at Elaine's Beauty
First Name
Last Name
Address
Email
I have NOT tested positive for COVID19 or been in contact with someone who has tested positive
I am not experiencing the symptoms: fever, cough, sore throat, body aches, shortness of breathe, loss of taste or smell, runny nose or headaches. (This refers to new or unusual symptoms not aligned with medical history, i.e. history of migraine or allergies)
I have not travelled outside Ireland (includes Northern Ireland) in the past 14 Days
Initials
Date
I declare that the info I’ve provided is accurate & complete
Submit
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