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Name
*
First Name
Last Name
Mobile Phone Number
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Do you have any of the above condition?
*
Yes
No
AGREEMENT
*
The information I have provided is complete and true to the best of my knowledge. During this pandemic, I understand I may get infected at salon. I agree to not complain or sue if anything happens to occur during or after my service is finished. PLEASE SIGN BY TYPING YOUR FIRST AND LAST NAME AND DATE BELOW TO AGREE WITH THE TERMS AND CONDITION.
Date
*
MM
DD
YYYY
Thank you so much for your registration and continued support!
Sessy Nails
