COVID-19 (Coronavirus) Liability Release Form

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

I affirm that I, as well as all my household members, have not been diagnosed with COVID-19 within the last 30 days.

I affirm that I, as well as all my household members, have not traveled outside of the United States, or to any city outside of our own that is or has been considered a "hot spot" for COVID-19 infections within the last 30 days.

I understand that my massage therapist, Andree Strauss, is taking extra precautions by cleaning and disinfecting all surfaces between each client, per the CDC, OSHA and MDH guidelines.

I understand that all sessions will end on time (even if you are late to your appointment) to allow for proper cleaning/disinfection protocols between clients.

I understand that Relax & Be Well, LLC and my massage therapist, Andree Strauss, cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each client.

By submitting this form, I agree to each above statement and release my massage therapist, Andree Strauss, and her business, Relax & Be Well, LLC, from any and all liability for the unintentional exposure or harm due to COVID-19.

Relax & Be Well, LLC COVID-19 (Coronavirus) Liability Release Form