The Personal Service Settings Regulation 136/18 made under the Health Protection and Promotion Act R.S.O. 1990 Ch.7 outlines operational requirements for personal service settings. Effective July 1, 2018, all operators of new and existing personal service settings must register their businesses with Public Health. Public Health must be notified in writing prior to: Opening a new personal service business Adding services to existing businesses Beginning renovations to existing businesses In accordance with the Infection Prevention and Control Protocol, 2018 (as current), all inspections are publicly available on the Wellington-Dufferin-Guelph Public Health Check Before You Choose website. The Infection Prevention and Control Protocol, 2018 (PDF) is available from the Ministry of Health and Long-term Care. Business Information Business Name * Legal Name: (If different than above) Owner and Operator Information Owner Name: * Operator Name: (If applicable) Business Address: * Mailing Address (if different than above): City: * Phone: * Alternate phone number: Email: Postal Code: * Public location or home-based business? * Public Location Home-based Business Services Offered * Barbering Body Modification Body Piercing Ear Piercing Eyelash Services Electrolysis Facials Fibroblast Treatment (Plasma Skin Tightening) Hair Cutting Laser Hair Removal Make-up Manicure/Pedicure Microblading Microneedling Tattooing Waxing Other Other services Is the Owner a member of a regulatory college? * Yes No If yes, which College? Is the Operator a member of a regulatory college? Yes No If yes, which College? Operational Information New business Notice must be provided at least 14 days of anticipated opening. Note: Businesses in the City of Guelph cannot operate without an approved city business license. Refer to https://guelph.ca/business/licences-and-permits/business-licences-bylaw-… Is this a new business? Yes Proposed date of opening: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Water Supply Municipal Private If private, water treatment present? Yes No Existing business planning to add services Notice must be provided at least 14 days prior to offering new service. Is this an existing business planning to add services? Yes Type of New Service Existing business with planned renovations Notice must be provided prior to the anticipated start of renovations/construction and at least 14 days prior to renovations if business will be closed. Is this an existing business with planned renovations? Yes Proposed date of renovations: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Will the business be operational during renovations? Yes No The information on this form is collected under the authority of the Health Protection and Promotion Act in accordance with the Municipal Freedom of Information and Protection of Privacy Act and the Personal Health Information Protection Act. This information will be used for the delivery of public health programs and services; the administration of the agency; and the maintenance of healthcare databases, registries and related research, in compliance with legal and regulatory requirements. Any questions about the collection of this information should be addressed to the Chief Privacy Officer at 1-800-265-7293 ext 2975.