Please complete and return this form 72 hours prior to your booking date.

To help us plan a fun and safe celebration for everyone, please fill this form out on behalf of your child. This will let us know if there are any food allergies or dietary restrictions.

Please separate each name by comma. 
Does your child have any food allergies or sensitivities?

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What kind of reaction does your child have (if exposed)?

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Does your child carry an EpiPen?

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Does your child follow a special diet?

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By submitting this Allergy Waiver Form:

I am at least eighteen (18) years of age and I fully and voluntarily consent to my child’s participation in the Party. I hereby acknowledge my awareness that participation in the Party may cause me or my child to come into contact with or ingest food that may cause an allergic or other medical reaction.

I WAIVE, RELEASE, INDEMNIFY, AND DISCHARGE ESRT Observatory, L.L.C., Ghirardelli Chocolate Company, and each of their respective affiliates, subsidiaries, members, directors, officers, employees, parent companies, and representatives, from and against any and all liability, demands, claims, expenses, actions or causes of action of whatever kind, arising from or by reason of any personal injury, bodily injury, property damage, or the consequences thereof, whether foreseeable or not, resulting from or in any way connected with my participation or my child’s participation in the Party.

I hereby consent for me or my child to receive medical treatment that may be deemed advisable in the event of an emergency injury, accident, and/or illness during the Party. This Allergy Waiver Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.