Food Challenge Liability Waiver
Complete this form to confirm your participation and consent for the food challenge.
Food Challenge Liability Waiver Form
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which food challenge are you participating in?
*
Please Select
Spicy Wings Challenge
Mega Burger Challenge
Dessert Marathon Challenge
Other
I confirm that I am at least 18 years old.
*
Yes
Signature
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver
Submit Waiver
Should be Empty: