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COVID-19

Let us do this part
Today's Date:
Sat Jun 21 2025 12:35
Due to the outbreak of the novel Corona-virus (COVID-19), Shinra Electric is doing everything we can to protect our clients, staff and our community.
We are following guidance from the Australian Government Department of Health with regard to social distancing practices, hygiene and sanitation.
We ask that all our clients disclose their health history and continue to implement these hygiene and sanitation procedures.

Symptoms of COVID-19 include:

- Fever
- Cough
- Sore Throat
- Shortness of Breathe
Please read and answer
Y
N
Have you or any members of your household experienced any of the symptoms listed above within the last 14 days?*
Y
N
Have you, or any any members of your household travelled internationally or interstate in the last 14 days?*
*
I understand that I must come alone to my appointment and that friends and family will not be allowed to enter the studio with me.
*
Upon entering the studio, I agree to washing my hands or using hand sanitiser.
*
I understand that I must practice 1.5m social distancing at all times where possible.
*
I agree to wearing a face mask at all times while in the studio.
*
I hereby consent to me information being stored for any contact tracing that may be required.
 
Artist Name who will be tattooing you*
 
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Legal Name:*
Pronoun:
Chosen name:
Address:
Postcode:
Date of birth:*
You must be 18 or older
Gender:
Phone #:*
Email:*
Signature:*