Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Spicy Food Waiver Form Template

Ensure Safety with Our Easy Spicy Food Waiver Template

Are you concerned about the risks involved when serving spicy foods? This spicy food waiver form template is designed for restaurants, food challenges, and events that feature extreme heat levels, allowing you to efficiently inform patrons about potential risks. With clear wording and WCAG-aligned labels, you can protect your business while ensuring customers acknowledge their responsibility, streamline the signing process, provide legal coverage, and minimize liability. You can explore the benefits and customize this template to suit your needs.

Use this Template (FREE) Live Preview
Full name
Date of birth
Email address
Mobile phone number
Parent/Guardian full name (if under 18)
Are you 18 years of age or older?
Yes
No
Do you have any known allergies to chili peppers, capsaicin, or spicy ingredients?
Yes
No
Food allergies (select all that apply)
Other allergies or dietary restrictions
Do you have any of the following conditions? (select all that apply)
Are you currently taking blood thinners or other medications that could increase risk?
Yes
No
Emergency contact name
Emergency contact phone
Relationship to you
Parent
Guardian
Spouse/Partner
Sibling
Relative
Friend
Colleague
Prefer not to say
Other
Please Specify:
I understand that consuming spicy foods can cause discomfort or adverse reactions.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I agree to stop consuming the product if I feel unwell and to seek assistance if needed.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I voluntarily assume all risks associated with consuming spicy foods.
Yes
No
I release and hold harmless the organizer, venue, and their staff from liability for injury or illness resulting from participation, except where prohibited by law.
Yes
No
I consent to receive basic first aid or emergency medical treatment if necessary.
Yes
No
I acknowledge that it is my responsibility to disclose relevant health information.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I consent to the processing of my personal data for the purpose of administering this waiver.
Yes
No
Type your full name as your signature
Date signed
I consent to the use of my photo/video in marketing related to this event.
Yes
No
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Date of birth, Email address","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a spicy food waiver form with decorative elements related to food and spice.

When to use this form

Use this form when you host a hot food challenge, hot wing contests, pepper sampler flights, or any menu item that can cause burns, choking, or severe discomfort. It helps you set rules, warn guests about risks, and collect consent before they start. Restaurants, bars, food trucks, festivals, and college events benefit, as do participants who want clear guidelines and emergency planning. If you also need a broader release for the venue, pair it with the Release and waiver of liability form. For contests that add physical strain, like timed rounds or mandatory milk limits, you can adapt fields from the Fitness waiver form. The result is informed consent, safer events, and better protection against claims.

Must Ask Spicy Food Waiver Questions

  1. Are you at least 18 years old, or do you have a parent or legal guardian to sign for you?

    This confirms the signer has legal capacity to consent to risks and terms. If a participant is under 18, you can collect a guardian name and signature to protect your business.

  2. Do you have any allergies or medical conditions that heat or capsaicin could worsen?

    Screening for asthma, heart issues, GI disorders, or pepper allergies helps you identify high-risk entrants. You can adjust rules or decline unsafe participation and document your decision.

  3. How would you rate your spice tolerance, and have you ever had an adverse reaction to spicy foods?

    A simple tolerance rating helps you set portion sizes or challenge levels. Noting any past reactions alerts staff to watch for early warning signs.

  4. Do you understand and agree to assume all risks of consuming extremely spicy items and release the organizer from liability?

    This puts informed consent on record and makes expectations clear about possible injuries like burns, vomiting, or allergic reactions. Clear release language reduces disputes and aligns with standard practices for risky activities.

  5. Who should we contact in an emergency, and do you consent to receive medical aid if needed?

    This gives you a fast way to reach someone and permission to call first responders if needed. If your event includes off-site segments, consider pairing your form with the Travel disclaimer and insurance waiver form.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel