Youth Participant Class Waiver and Photo/Video Release Youth Participation Waiver and Photo/Video Release Form Culinary U Youth Participation Form & Waiver Participant Information First and Last Name * Participant Date of Birth * 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 Parent/Guardian Information First and Last Name * Email Address * Mobile Phone Number to be used in case of emergency * Primary CLASS WAIVER: I understand that my child will be exposed to a variety of foods. I understand that my child will be working with cooking tools and appliances with supervision. I understand the nature of the proposed activities and hereby assume any and all risks associated with those activities. My child has my permission to participate in Culinary U of the Triad programs. By signing below I release any claims, damages and liabilities arising from or related to my child's participation in this program including 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 my child for use on Culinary U website, Facebook page, and other promotional materials. I understand that since participation is voluntary, neither the minor child nor I will 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