COVID19 Safety | Zxaar Hair Design

Please fill out our COVID19 Safety Form

To ensure that our COVID19 Safety guidlines are met, it is imperative that the form provided is filled out. Please do not miss any section of the form. Your appointment will be cancelled if this form has not been received at least 24 hours before your appointment takes place.

First Name

Last Name

Email Address

Telephone

Please Select Required PPE Please Select Required PPE Mask Required Gloves Required No PPE Required

Are you classed as Vulnerable? Are you classed as Vulnerable? Yes No

Have you displayed symptoms in the last 14 days? Have you displayed symptoms in the last 14 days? Yes No

Please tick to confirm you have read our T's & C's Please tick to confirm you have read our T's & C's I have read the T'S & C's

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