Culinary Event Waiver Form
Please complete this form to participate in the culinary event. Your responses help ensure your safety and allow us to accommodate your needs.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any food allergies?
*
No known allergies
Peanuts
Tree nuts
Dairy
Eggs
Shellfish
Gluten
Other
Please list any other dietary restrictions or preferences
Please list any relevant medical conditions we should be aware of
Participant Signature
*
Submit Waiver
Submit Waiver
Should be Empty: