
Restaurant Pop-Up Event Waiver
IMPORTANT LEGAL DISCLAIMER: This template is provided for informational purposes only and does not constitute legal advice. Restaurant operators must consult with qualified legal counsel familiar with local, state, and federal laws in their jurisdiction before using any waiver or release form. Legal requirements vary significantly by location, and this template may not comply with all applicable laws or provide adequate protection for your specific circumstances.
Event Information
Event Name: _________________________________________
Date: ________________________
Location: _________________________________________
Event Organizer: _________________________________________
1. Participant Information
Full Name: __________________________
Phone: __________________________
Email: __________________________
Emergency Contact: __________________________
Emergency Contact Phone: __________________________
2. Assumption of Risk
I acknowledge and understand that by attending this pop-up dining event, I may be exposed to certain inherent and unforeseen risks including but not limited to:
Food allergies and dietary reactions
Foodborne illnesses
Slip, trip, and fall hazards
Environmental hazards and weather conditions
Alcohol-related incidents (if alcohol is served)
Venue-related risks and temporary setup hazards
Interaction with other participants
COVID-19 and other communicable diseases
I voluntarily assume full responsibility for any personal injury, illness, property damage, or other losses that may occur during my participation in this event.
3. Release of Liability
I hereby release, discharge, and hold harmless the event organizers, restaurant operators, chefs, property owners, landlords, employees, volunteers, contractors, vendors, and all associated parties from any and all claims, demands, actions, or causes of action related to any injury, illness, damages, losses, or expenses arising from or in connection with my participation in this event, whether caused by negligence or otherwise.
4. Food Allergies and Dietary Restrictions
Do you have any food allergies or dietary restrictions? □ Yes □ No If yes, please specify: _________________________________________
I understand that despite reasonable efforts to accommodate dietary restrictions and allergies, cross-contamination may occur in food preparation. I assume full responsibility for my dietary choices and any resulting consequences.
5. Alcohol Consumption (if applicable)
□ I confirm I am 21 years of age or older (or legal drinking age in this jurisdiction) □ I agree to consume alcohol responsibly and will not drive under the influence □ I release the organizers from any liability related to alcohol consumption □ N/A - No alcohol will be served/consumed
6. Photography & Media Consent
□ I consent to being photographed, filmed, or recorded for promotional, marketing, and social media purposes
□ I do NOT consent to photography, filming, or recording
7. Health and Safety Acknowledgment
I confirm that I am not currently experiencing symptoms of COVID-19, flu, or other contagious illnesses. I understand there are inherent risks of exposure to communicable diseases in public gatherings and assume these risks voluntarily.
8. Indemnification
I agree to indemnify, defend, and hold harmless the event organizers, restaurant operators, vendors, staff, and all associated parties from and against any and all claims, damages, losses, costs, and expenses (including reasonable attorney's fees) arising from or relating to my participation in this event.
9. Governing Law and Severability
This waiver shall be governed by the laws of [STATE/PROVINCE]. If any provision of this waiver is found to be unenforceable, the remaining provisions shall continue in full force and effect.
10. Acknowledgment & Signature
I have read and fully understand this waiver and release of liability. I understand that by signing below, I am giving up substantial legal rights, including the right to sue. I sign this agreement voluntarily and with full knowledge of its significance.
Participant Name (Print): __________________________
Participant Signature: __________________________
Date: __________________________
Parent/Guardian Signature (if participant is under 18)
: __________________________ Date: __________________________
For Organizer Use Only
□ ID Verified □ Payment Received □ Waiver Signed □ Allergy Information Logged □ Emergency Contact Verified
Additional Legal Considerations for Restaurant Operators:
This template should be reviewed for:
Local food service regulations and licensing requirements
State-specific liability laws and waiver enforceability
Insurance policy requirements and coverage gaps
Liquor liability laws (if serving alcohol)
Health department regulations
ADA compliance requirements
Minor participation laws and parental consent requirements
Strongly Recommended:
Consult with an attorney specializing in restaurant/hospitality law
Review with your business insurance provider
Ensure compliance with local health department requirements
Consider additional liability insurance for pop-up events