Party Questionnaire Form No. 3 "*" indicates required fields Parent's Name First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific TX ZIP Code Phone*Guest of Honor's Name* How old is the child turning?*Is the birthday child a:*BoyGirlRequested Date* MM slash DD slash YYYY Requested Time* Hours : Minutes AM PM AM/PM Add another time or date option Yes No Requested Time Hours : Minutes AM PM AM/PM Number of Guests Invited*Including birthday child, 16 total max (Final headcount is due 1 week prior to party date) Any allergies or food restrictions?* Yes No Maybe Please list all possible allergies (for the guest of honor & guests) Party Package*Package A Party Chef $325Package B Master Chef $390Package C Top Chef $445Package D VIP Chef $535Meal Selection*Personal Size PizzasPastaStacked Nachos or Soft Tacos (Beef or Black Bean)Pancake PeoplePretty Parfaits with Skillet GranolaMuffins & Fruit KabobsRainbow Fried RiceTea PartyCupcake Wars (Additional $30 AND ages 9 & up)Mystery Ingredient Competition (Additional $35 AND ages 10 and up)Soft Tacos choice* Ground Beef Black Bean Stacked Nacho choice* Ground Beef Black Bean Birthday Dessert Choice* Chocolate cupcakes Vanilla cupcakes Party Drinks* 100% juice Water Optional Add Ons Personalized Aprons ($22 each) Utensil Party Pack: 4 Kitchen Utensils ($8) Personalized Cutting Boards ($15 each) Personalized Mixing Spoons ($6 each) Personalized Rolling Pins ($8 each) Personalization for Boards, Spoons, & Rolling Pins (additional fees apply for add-ons)Choose one None, do not include this in my party packageThank you for cooking with (name)!Cooking up fun with (name)!You're my favorite cook! Love, (name)How did you find us?* Additional requests or commentsPrivacy and Consent*Please read and agree to the terms below By signing this Assumption of Risk, Release of Liability and Waiver, I represent that it is my desire and intent that the child identified below (“my child”) participate in the activities of Kids Kitchen Cooking Classes, specifically including the cooking class(es) described below in Attachment A. I also represent that I have the authority to enter into this agreement on behalf of my Child as the Child’s parent or legal guardian. I acknowledge that the participation of my child in Kids Kitchen Cooking Classes, which includes participating in activities related to preparing and eating food, involves known and unknown risks, including the risk of physical injury, death and other damage. On behalf of my Child, I expressly and voluntarily assume any and all risks associated with participation in Kids Kitchen’s cooking classes and eating the food prepared. I understand that there are risks inherent in cooking and eating the food prepared, including but not limited to, slips, falls, cuts, burns, cooking, food, allergy reactions, and other accidents and injuries that may arise from the activity of cooking and eating the food prepared in class. In consideration for my child being permitted to attend and participate in Kids Kitchen’s Cooking class and any and all of the activities that are or might be associated with Kids Kitchen’s Cooking Classes, on my child’s behalf, I release and further agree to indemnify, defend and hold harmless Kids Kitchen’s, including members, manager, officers, owners, employees, agents, contractors, representatives, volunteers, interns, and insurers, from any and all claims, demands, actions, causes of action, lawsuits, expenses or losses (including attorneys’ fees) whatsoever that could be brought by me, my child or a third party acting on behalf of my child or me for acts of omissions related in any way to, or arising out of, Kids Kitchen’s cooking classes and the preparation of food in that class for consumption. I understand that this is the entire agreement between Kids Kitchen, their agents or employees, 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 Kids Kitchen’s and I agree that this agreement shall be governed and interpreted under Texas Law. I acknowledge that I have read and understand this document, which affects my child’s and my legal rights, and I am signing it on behalf of the child, as well as his/her heirs and assigns, who will be bound by all of its terms. I agree to the privacy and consent policy.Waiver for Photo/Video/Audio Release:* Yes No Today's Date* MM slash DD slash YYYY Untitled CommentsThis field is for validation purposes and should be left unchanged. 72896