Three Wishes Waiver
This waiver is being completed for a/an:
*
Adult
Child
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Parent(s)/Guardian(s) Information
Name
*
First Name
Last Name
Relationship to child
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
First Name
Last Name
Relationship to child
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Information
Other than parent/guardian
Emergency Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Relationship to child
*
Child's Information
Name
*
First Name
Last Name
Nickname
Birthday
*
-
Month
-
Day
Year
Date
Age at start of session
*
Children must be 5 years old to be able to participate in this session.
Dietary restrictions/allergies
Current school
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Current grade
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Does your child have any cooking experience?
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Include past cooking classes, camps, cooking at home, etc.
Briefly describe your cooking experience.
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Is there anything you'd like us to know about your child's social/emotional needs?
How did you hear about Three Wishes Cooking School?
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Media Consent
I hereby give consent to Three Wishes Cooking School (the "organization" to photograph, videotape or otherwise digitally record and use images and/or sound recordings of my child to use in any public media, including internet, social media, print or in any of the organization's publications, productions or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness purposes for the organization. I hereby waive any rights or interest in the images or recordings, as contemplated in this release.
I agree
Liability Waiver
By checking the box and signing my name below, I/we understand that participation in cooking classes could involve some possible personal injury. Despite precautions, accidents or injuries may occur. I/we (the student chef and parent(s)/guardian(s) assume all risks related to the use of any space including 3315 S Broadway, Englewood, CO 80113. I/we agree to release and hold harmless Three Wishes Cooking School, all staff members and facilities from any cause of action, claims or demands now and in the future. I/we will not hold Three Wishes Cooking School liable for any personal injury or any personal property damage, which may occur on the premise before, during or after cooking class. I/we understand that Three Wishes Cooking School is licensed and insured.
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I/we understand
Signature
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Submit
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