Dining Services

Food Release Agreement                        printable version

DATE OF ACTIVITY:  __________________________________________________

OCCASION:   __________________________________________________________

ORGANIZATION:  ______________________________________________________

UNIVERSITY FACILITIES TO BE USED:   __________________________________

CUSTOMER NAME/MAILING ADDRESS:  __________________________________

                                                                          __________________________________

                                                                          __________________________________

FOODSTUFF & OTHER ITEMS TO BE SUPPLIES BY ABOVE ORGANIZATION:

Valparaiso University accepts no responsibility or liability for the food quality or condition of any foodstuffs delivered to or served on University premises except those provided by Valparaiso University Dining Services.  All such responsibilities and liabilities must be accepted by the organization of individuals providing foodstuff.

I have read and understand the above statement as the duly authorized representative of the above named organization or individuals.  In consideration of Valparaiso University making available its facilities, I release Valparaiso University from any such responsibility and/or liability and accept full responsibility and/or liability for said organization and/or individuals.

                                                            SIGNED:

                                                            __________________________________________

                                                            DATE:

                                                            __________________________________________

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