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In-Home Cooking Lesson Application
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General Information
Name
*
First
Last
Please describe the reason you are applying for this lesson.
*
Have you had any Ayurvedic or holistic health services before?
Yes
No
Please describe the Ayurvedic or holistic health services you have experienced in the past.
*
Please include what modalities or practices you've received, which ones you have found beneficial, and an estimate of how long it has been since you received them.
Contact Information
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is your address within 10 miles of El Cerrito?
*
Yes
No
Scheduling Information
Requested Date for Lesson
Please provide 3 dates that would work best for your schedule in the coming weeks.
Layout
Date
First Choice of Date
Date
Second Choice of Date
Date
Third Choice of Date
If we are not able to make the above dates work, which days are commonly best for you?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Pantry/Ingredient Information
Do you have any dietary restrictions I should be aware of?
*
Yes
No
Please check all applicable dietary restrictions.
*
Vegetarianism
Gluten-Free
Lactose Intolerance
Allergic to nuts
Allergic to shellfish
Allergic to eggs
Allergic to soy
Allergic to wheat
Celiac Disease
Diabetes
Other
Other: Please Explain
If you have any health conditions that may impact this class, please disclose below.
Please list any specific spices, grains, legumes, or herbs that you frequently use in your cooking.
Do you have any Ayurvedic ingredients such as ghee, turmeric, or mung beans?
*
Yes
No
Do you have any specific cooking equipment or tools commonly used in Ayurvedic cooking, such as a pressure cooker, mortar and pestle, or clay pots?
*
Yes
No
Do you have any other information you would like me to know before compiling recipes for our lesson?
Would you like to add on the food prep soup?
*
Yes
No
This has an additional cost of $150.00 and serves 4.
Terms and Conditions
By participating in the in-home Ayurvedic cooking class provided by Kreem Shakti, you agree to the following terms and conditions:
Scope of Services
*
This in-home cooking class aims to provide education and guidance on Ayurvedic cooking principles, techniques, and recipes tailored to the participant's needs and preferences.
Cancellations
*
I understand this cancellation policy and am willing to financially compensate Kreem Shakti per the policy below.
If you need to cancel or reschedule your lesson, please notify us at least 4 days (96 hours) before the scheduled date. This is an extended amount of time due to the amount of time we put into this lesson. If cancelled within 4 days of the scheduled lesson, participant will be financially responsible for lesson cost as well as any additional costs incurred by Kreem Shakti. This can include but is not limited to groceries purchased, and a premium hourly rate for all time spent preparing for this lesson.
Participant's Responsibilities
*
Participants are responsible for providing a clean and suitable kitchen space for the cooking class. A premium charge will be billed if the kitchen is not clean and ready for cooking.
Participant's Venue
*
Participants are responsible for providing a space that can be cleared and ready for cooking.
If you are unsure if your space is suitable for this class, please contact me for further conversation.
Grocery Reimbursement
*
A grocery receipt will be provided at the beginning of the lesson, to be paid immediately.
Payment is to be made via Square.
Supplementary Travel Charge
*
A supplementary charge will apply for lessons scheduled outside a 10-mile radius from El Cerrito.
Assumption of Risk
*
Participants acknowledge that participation in the cooking class involves inherent risks, including but not limited to cuts, burns, and allergic reactions.
Liability
*
Participants agree to release Kreem Shakti from any liability for injuries or damages resulting from their participation in the cooking class.
Governing Law
*
These terms and conditions shall be governed by and construed in accordance with the laws of California.
Disclosure
*
I have discloses all food allergies, dietary restrictions, or health conditions that may impact this cooking class.
By clicking the submit button below, you acknowledge that you have read, understand, and agree to be bound by the terms and conditions set forth in this contract. Your submission constitutes your electronic signature, indicating your acceptance of the terms herein.
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