Fill out the form below
As you know from all of the news and information available these days (including from the Federal Government), COVID-19 is a very contagious disease that can lead to severe illness and, possibly, death. COVID-19 spreads from person to person, so there is an inherent risk of exposure to COVID-19 in any public place (where, naturally, people are present).
In addition to long-held and explicit sanitation measures we have always adhered to, new preventative measures have been put in place to further reduce the spread of COVID-19 at this event being put on by The HydraFacial Company.
That said, these best practices still offer no guarantee, and anyone who attends our Keravive Tour Consumer Event(s) faces potential risk of being infected with COVID-19. With that, we ask that you review the following, and – if you agree (and as a condition to receiving your treatment) – you acknowledge the following:
I understand that, because esthetics involves maintained touch and close physical proximity over an extended period, there may be an elevated risk of disease transmission, including COVID-19.
By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment; I voluntarily agree to assume those risks; and I release and agree to hold harmless each of The HydraFacial Company and its partners (including the practitioners providing treatment) from any claims related thereto.
I hereby agree that I will not attend the our Keravive Tour Consumer Event if:
– I have COVID-19;
– I have had a known exposure to anyone with COVID-19;
– I am or have recently (within the past two weeks) experienced any of the following symptoms associated with COVID-19: a fever; cough; shortness of breath or difficulty breathing; chills; fatigue; muscle or body aches; headache; new loss of taste or smell; sore throat; congestion or runny nose; nausea or vomiting, or diarrhea.
(Note: You will be asked to confirm this at the event and, as an added precaution, your temperature will be taken prior to your receiving treatment)
I also give my consent to receive treatment.