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Covid-19 Health Declaration

How are you feeling today?

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Last Name

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My body temperature is lower than 98.6°F/ 37.5°C. I have not been diagnosed with or cared for someone diagnosed with COVID-19.

I am not experiencing these symptoms: fever, cough, sore throat, shortness of breath, lost taste, or lost sense of smell.

I haven’t been in contact with a COVID-19 patient in the last 14 days. If I start to show signs or recieve a positive test within two weeks of my service, I will notify the service provider immediantly.

I declare that the info I’ve provided is accurate & complete. I am aware that mask, handwashing, or sanitizer should be used often when in the studio.

I accept the above terms & conditions

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Thanks for submitting!

CALL US 757.943.6264

Tuesday - Thursday 1:30pm - 7pm

Friday 1:30pm - 8pm

Saturday 10am - 2pm

EMAIL US

Please send emails to our team at

Covid-19 Health Declaration

CALL US 757.943.6264

Saturday 10am - 2pm

EMAIL US

Please send emails to our team at jkwaxingbeauty@gmail.com

Please send emails to our team at