Health Declaration Form

Please take a moment to complete our consent form. By submitting the form below you agree to knowingly and willingly consenting to have class or service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.

First Name

Last Name

Class Start Date

Class End Date

Please answer the following questions :

Symptoms of COVID-19 may include : Fever, Fatigue, Dry cough, Difficult breathing, Sore throat, Loss of smell or taste.

I understand the above symptoms and affirm that I, as well as all members of my household, do not currently have nor have experienced COVID-19 symptoms within the last 14 days.

Yes

I affirm that I, as well as all members of my household, have not been diagnosed with COVID-19 within the last 14 days.

Yes

I affirm that, to my knowledge, I have not been in contact with anyone who has been diagnosed with COVID-19.

Yes

I affirm that if I traveled outside of Canada in the last month, I would be isolated in my home for 14 days upon my return.

Yes

I understand that AESP School of Beauty cannot be held liable should I experience exposure to the virus or any other contagion as a result of my providing misinformation on this form.

Yes

All students and clients (including models) are required to wear a mask at all times.

Yes

Initials

To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the school's strict guidelines. I will visit the school website www.aespschool.com for the COVID-19 important guidelines.

Initials

I have been given the option to defer my class or service to a later date. However, I understand that, because Spa Services and all esthetic's classes involve maintaining prolonged and close physical contact, there may be an elevated risk of disease transmission, including COVID-19.

Initials

I agree Aesthetics Pro (AESP School of Beauty) reserves the right to decline the class and service to any patron who does not follow the guidelines.

I confirm that the information given in this form is true.

Your Signature

Thanks for submitting!

Date

A

S

E

P

Aesthetics Pro

International
School of Beauty

Calgary
Vancouver
Edmonton
Montreal

Health Declaration Form

Please take a moment to complete our consent form. By submitting the form below you agree to knowingly and willingly consenting to have class or service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.

Please answer the following questions :

Symptoms of COVID-19 may include : Fever, Fatigue, Dry cough, Difficult breathing, Sore throat, Loss of smell or taste.

Health Declaration Form

Please take a moment to complete our consent form. By submitting the form below you agree to knowingly and willingly consenting to have class or service during the COVID-19 pandemic. We reserve the right to refuse service if this form is not submitted. Thank you.

Please answer the following questions : Symptoms of COVID-19 may include : Fever, Fatigue, Dry cough, Difficult breathing, Sore throat, Loss of smell or taste.

Please take a moment to complete our consent form. By submitting the form below you agree to knowingly and willingly consenting to have class or service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.

Please answer the following questions :

Symptoms of COVID-19 may include : Fever, Fatigue, Dry cough, Difficult breathing, Sore throat, Loss of smell or taste.