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

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 *

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 *

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