Cooking Class Registration Form
Kelly's Kitchen is excited to partner with the Color-Coded Chef to provide an accessible and inclusive cooking class series for individuals with disabilities. Join hands-on cooking classes with expert chefs! Our classes are FREE and open to all skill levels and each cooking class lasts around 90 - 120 minutes. There are four classes. Order and reserve your spot via registering below this is registration for all four classes. Roll up your sleeves and be ready to have fun! Please Note: You can register to attend at any time! Once you register, you will receive a follow-up email with more information and Zoom meeting link details.
Participant Name
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First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Are there any accommodations needed (things you need to be successful in these online cooking classes) so that you can fully participate? IF YES, please write what you need. We will try to accommodate everything you request. IF NO, please write "no" in the box below. This can include needing Closed Captioning, ASL interpretation, other language interpretation, etc."
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Do you have any food allergies or food restrictions? This can include gluten free, dairy free, vegetarian, vegan, etc. Please list all things you cannot eat so we know how to best ensure your safety during these classes. IF NO, please write "no" in the box below.
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Do you have any food preferences? This means any foods, textures of foods, or flavors that you do not like or will not eat? IF NO, please write "no" in the box below.
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By click yes, you grant permission to use photographs and/or video of yourself taken during class via zoom in publications, videos, newsletters, news releases, online, and in other communications related to the mission of the Kelly's Kitchen. Thank you!
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No
Yes
I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, Kelly's Kitchen, The Color Coded Chef, agents, and employees, and Owners (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in the activity. It is my expressed intent that this release and hold harmless agreement shall bind the members of my family, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, and CONVENANT NOT TO SUE the above named RELEASEES.
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Yes, I understand and agree not to hold Kelly's Kitchen or Color-Coded Chef responsible for any injuries sustained during these cooking classes.
No, I do not understand or agree to this statement. By choosing this option, I understand that I will not be able to participate in these classes and my registration form will not be chosen.
Signature. You can sign your name or simply put an "X" in this space; whichever is easiest.
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