Wa-Shokuiku -Learn. Cook. Eat Japanese!- Consent and Waiver Form

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Name*

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Do you have any allergies or food sensitivities? If yes, please describe what food should be avoided. If no, please type “None” *

ASSUMPTION OF RISK, RELEASE OF LIABILITY & WAIVER

By signing this Consent and Waiver Form, I represent that it is my desire and intent that I participate in the activities of Wa-Shokuiku class(es) provided by TABLE FOR TWO USA (“TFT”).

I understand the nature of the activities in Wa-Shokuiku class(es) that I will be involved in, including but not limited to, using knives/scissors, preparing and eating food. I understand that there are numerous inherent risks associated with participating in any cooking activities and I acknowledge that the participation of me in Wa-Shokuiku class(es) involves inherent risks, including but not limited to, cuts, burns, choking, food allergy reactions, other accidents, physical injuries, harm, illness and other damage. I hereby expressly and voluntarily assume any and all risks associated with participation in Wa-Shokuiku class(es). I further represent that I am physically and mentally fit for the activities in Wa-Shokuiku class(es) and that there are no medical problems or limitations associated with my participation in Wa-Shokuiku class(es) that would increase the risk of injury to me.

In consideration for me to attend and participate in Wa-Shokuiku class(es), I hereby waive, release, discharge, and agree to indemnify, save and hold harmless TFT, including its members, managers, officers, owners, employees, agents, contractors, representatives, volunteers, interns, and insurers, from any and all claims, demands, actions, causes of action, lawsuits, damages, expenses or losses (including attorney fees) whatsoever that could be brought by me or a third party acting on behalf of me for acts or omissions related in any way to, or arising out of, participation in Wa-Shokuiku class(es).

We further agree to grant TFT and its partners all rights and consent to copyright, use, re-use, publish or re-publish, copy, exhibit or distribute all photographs and videos of me during Wa-Shokuiku class(es) to be used in print and/or the website of TFT and its partners without compensation and TFT reaches out to me by e-mail or phone to share Wa-Shokuiku classes(es) updates and relevant information. I understand that this is the entire agreement between TFT and me, and that it cannot be modified or changed in any way by the representations or statements of any employee, agent, volunteer or intern of TFT.

By signing this CONSENT AND WAIVER FORM, I acknowledge that I have carefully read this CONSENT AND WAIVER FORM, I fully understand the contents and effect of this CONSENT AND WAIVER FORM, and that my signing this CONSENT AND WAIVER FORM is a voluntary act.

Note: If you bring the prepared food home after lessons, please make sure to follow the safety steps below:

Finish food within the day.
Refrigerate perishable foods as soon as possible, always within 2 hours after cooking.
Discard all perishable foods such as meat, poultry, eggs, left at room temperature longer than 2 hours; 1 hour in temperatures above 90 °F.
Be sure to reheat foods that are served hot, like miso soup and ramen, before eating.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature*

Signature Date*

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Printed Name*

First NameLast Name

E-mail*

EX: myname@example.com

Daytime Phone*

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Additional Phone (If any)

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Comments (If any)