Adult Participant Class Participation Waiver and Photo/video Release Form Culinary U Adult Participation Waiver and Photo/Video Release Form Culinary U Adult Participation Form & Waiver Participant Information First and Last Name * Does the participant have any food allergies, food sensitivities, mental or physical health conditions? If yes, please explain * Address * Address Street Address Street Address Apt./Building/Suite # Apt./Building/Suite # City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone Number * Primary Emergency Contact Information First and Last Name * Mobile Phone Number to be used in case of emergency * Primary CLASS WAIVER: I understand that I will be exposed to a variety of foods. I understand that I will be working with cooking tools and equipment. I understand the nature of the proposed activities and hereby assume any and all risks associated with those activities. By signing below I release any claims, damages and liabilities arising from or related to my participation in this program or my possible exposure to COVID-19. Signature * Clear PHOTO/VIDEO RELEASE: I hereby authorize Culinary U of the Triad to publish photos and videos taken of me for use on Culinary U website, Facebook page, and other promotional materials. I understand that since participation is voluntary, I will not receive financial compensation. I further understand that participation in any publication or website produced by Culinary U confers no rights of ownership whatsoever. I release Culinary U from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children. Signature * Clear Submit Δ