Top Chef Information
Food preparation, baking, cooking and eating involve inherent dangers, such as sharp tools, boiling liquids, hot stoves, allergic reactions, food borne illnesses, and food poisoning, among numerous other potential risks. When you engage in these activities, you do so at your own risk. Event organizers assume no responsibility or liability for any damages you may experience as a result of participating in this event or following recipes, instructions, tips or advice provided by ISUEO, event organizers or other sources.
Informed Consent, Release and Waiver of Liability
I hereby give my approval for my child’s participation in any and all activities prepared by Iowa 4-H and the County Agricultural Extension Districts during the selected Regional Chili Cook-off Competition. I assume all risk and hazards incidental to the conduct of the activities, and release from liability, imdemnify, and hold harmless the State of Iowa, Board of Regents of the State of Iowa, Iowa State University, ISU Extension and Outreach, County Agricultural Extension Districts, ICS Chili, Inc., and any of the officers, servants, agents and employees of the above-mentioned entities (hereinafter referred to as RELEASES) for any liability, claim and/or cause of action arising out of or related to any loss, damage or injury, including death, costs or other expenses or liabilities incurred by me and anyone accompanying me, (including minors I am responsible for during this event), that occurs as a result of my or my child's voluntary participation in this program. This release, however, is not intended to release the above-mentioned RELEASES from liability arising out of their sole negligence.
Medical Release and Authorization
The health information for my child is correct and complete to my knowledge. If an injury or other medical condition occurs or arises, I hereby give permission to ISUEO and County Agricultural Extension District, staff or volunteers, and ICS Chili, Inc. staff or event volunteers to provide routine first aid and seek emergency treatment including x-rays or routine tests. I agree to the release of any record necessary for treatment, referral, billing or insurance purposes. I understand that I am financially responsible for charges to the attending physicians or health care unit (other than those covered by an accident insurance plan). In the event of an emergency where I cannot decide for my child, I give permission to the physician/hospital selected by event staff or volunteers to secure and administer treatment for my child, including hospitalization.
Photo & Media Release
The Iowa State University Extension and Outreach 4-H Program routinely takes photographs, video, and/or tape recording of our programs. With my signature below I give permission to the Iowa 4-H Program and ICS Chili, Inc. to photograph, film, audio/video tape, record and/or televise my image and/or voice or the image and/or voice of my child for use in any publications or promotional materials, in any medium now known or developed in the future without any restrictions. If you object to ISU using you or your child’s image or voice in this manner, please notify the leader of this 4-H program.
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.