Covid 19- Pre Screening | sugarroomwaxing

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Glitter Bikini

Smooth Skin. Simple Ingredients.

Experience smoother skin and lasting results with our All Natural Sugaring Services

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

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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!

THE SUGAR ROOM

311 F STREET, SUITE 102

CHULA VISTA, CA 91910

CALL 619-500-6484

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