Cooking Class Waiver Form
Hold Harmless Agreement, Waiver and Photo Release
In consideration of being permitted by La Mesa LLC. to participate in a cooking class, I hereby waive, release and discharge any and all claims for damages or personal injury, death, or property damage which I may have or which may hereafter accrue as a result of my participation in said activity. This release is intended to discharge, in advance, La Mesa LLC., its officers, directors, members and managers, and all other members of its cooking education staff whether contracted or employed, from and against any and all liability arising out of or connected to in any way with any participation in said activity.|___________________________________| I understand that the activity that I am participating in may be of a hazardous nature and/or include physical and/or strenuous activity, that serious accidents occasionally occur during the said activity; and that participants in the said activity can occasionally sustain personal injuries as a consequence thereof. Knowing the risks involved, nevertheless, I have voluntarily applied to participate in said activity, and I hereby agree to assume any and all risks of injury or death and to release and hold harmless La Mesa LLC., its officers, directors, members and managers, and all other members of its cooking education staff whether contracted or employed, who might otherwise be liable to me. I further understand and agree that this waiver, release and assumption of risks is to be binding on my heirs and assigns.|____________________________________________| I hereby grant La Mesa LLC. all rights and consent to copyright, use, re‐use, publish or re‐publish, copy, exhibit or distribute all photographs and/or video of myself to be used for La Mesa LLC. website, social media, and any educational, training or promotional electronic or printed material without restriction as to frequency or duration of usage and without compensation. By signing this waiver, I acknowledge that I have carefully read this Hold Harmless Agreement, Waiver and Release and fully understand its contents. I am aware that this is a release of liability and a contract between myself and La Mesa LLC. and any staff member of any cooking class whether contracted or employed.
Name
First Name
Last Name
Email
example@example.com
Phone Number
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Food Allergies? If so, Which?
Fill in allergies that apply to you
Emergency Contact Name
First Name
Last Name
Emergency Contact#
Please enter a valid phone number.
Signature
Date
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Month
-
Day
Year
Date
Submit
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