Sodexho
Food Waiver Request

*Date of event:
*Name of organization:
*Name of Event:
*Location of Event:

*Estimated number of people attending:

Food Item
Purchased From/Prepared At
Food 1:
Food 2:
Food 3:
Food 4:
Food 5:
Food 6:

*Contact Person: * Phone No.:

RELEASE AGREEMENT

_____________________________________ ("Client") hereby waives and releases any rights, actions, or claims against Sodexho, its subsidiaries and affiliates, for any liabilities and damages, including any food-borne illnesses and death, arising out of or in connection with Client's use of its own food or consumption of products not provided by Sodexho.

This Agreement shall inure to benefit of and shall be binding upon Client's successors and assigns.

IN WITNESS WHEREOF, Client has signed and acknowledged This Agreement.

By: _________________________

Title: ________________________

Date: ________________________

Approved by: ______________________________________    Date: _______________________
                  Sodexho

Sodexho, University of Hawaii at Hilo, 200 West Kawili Street, Hilo, HI 96720
Telephone: 808-974-7303, 808-974-7706

Member of Sodexho Alliance