dietary restrictions

We are finalizing our menu selections for The Assigned Experience and want to ensure we accommodate any dietary restrictions or severe allergies. Please complete the form below to help us provide a safe and enjoyable experience for you. Your health and well-being are a priority, and we appreciate your cooperation in sharing any special requirements.

Name

First Name

Last Name

Email

Do you have any dietary restrictions?

Check all that apply.

Vegetarian

Vegan

Gluten-Free

Dairy-Free

nut-free

NOne

Do you have any severe food allergies?

YES

NO

If "YES", please specify:

If "YES", Is your allergy so severe that the food cannot be in the room with you?

Liability Waiver: By typing my full name below, I acknowledge that I have provided accurate information regarding my dietary restrictions and/or allergies. I understand that while every effort will be made to accommodate my needs, The Assigned Experience, its organizers, and the event venue are not liable for any adverse reactions I may experience. I hereby waive and release any claims of liability based on the laws of the State of Georgia.

Type Your Full Name (Signature):