Cheesecake Eating Competition Participation Waiver

I, the undersigned, participant in this eating competition (the “Competition”), hereby acknowledge there are risks associated with this event, which include, but are not limited to personal injury, risk of illness and possibly death, risk of loss or damage to personal property. Contestant voluntarily enters The Cheesecake Eating Competition and in doing so assumes risks, stated and unstated herein. Contestant, upon entry in this competition and upon signing this form hereby agrees to waive, release and hold harmless 7ate9 Bakery, its associates, volunteers, sponsors, vendors, and any of their affiliates, successors and assigns from any liability of any kind arising from this event. Contestant swears that they have been cleared by a duly licensed medical professional that they are mentally and physically fit to compete in the Competition.

 

I agree the Competition may be photographed, filmed or videotaped and I grant permission to 7ate9 Bakery to utilize the results and proceeds thereof, as well as my name, image, face, likeness and biographical information in perpetuity in all media whatsoever. I fully acknowledge and agree that I understand all of the terms and conditions of this document.

 

First Name: _________________________________ Last Name: ________________________________

Address: _____________________________________________________________________________

City/State/Zip: _________________________________________________________________________

Phone Number: ______________________ Age: ___________ Date of Birth: ______________________

 

Emergency Contact Name and Phone: ______________________________________________________

 

Do you have any serious medical conditions or injuries that may be affected by this contest? Please circle: YES / NO

If yes, please explain in detail: ____________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

 

Do you have any allergies? Please circle: YES / NO If yes, please explain in details: __________________

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Signature: ___________________________________________________ Date: ____________________