COVID Declaration | Makeup & Esthetics

top of page

HOME
- COVID Declaration
- Gift Certificates
ABOUT ME
BRIDAL
- Bridal Booking Form
BOOK ONLINE
GIFT CARD
EVENTS
CONTACT
SHOP
More

Use tab to navigate through the menu items.

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

© 2020 by Keisha J Moore, designed by Taylor Made productions.

bottom of page