Due to The Extreme Nature of the ingredients being used in The Palm Bar & Grill™ Wing Challenge, please read the following disclaimer.

All participants will be required to sign this waiver at the time of challenge registration & again confirm with signature a second time at the time of the challenge.

I agree, as indicated by my registration for The Palm Bar & Grill™ Wing Challenge, as follows in connection with my participation of this event:

• Due to the extreme hot nature of the ingredients used for The Palm Bar & Grill™ Wing Challenge, I acknowledge the ingredients can cause serious injury if directly consumed, ingested, or applied to the body.

• Due to the extreme hot nature of the ingredients in the products The Palm Bar & Grill™ is using, I acknowledge I am participating and consuming these extremely hot ingredients at my own risk, and I fully understand the potential danger.

• I hereby disclaim, release and relinquish any and all claims, actions and lawsuits that I, or any of my dependents, heirs, family members or legal representatives, may have against any party relating to any damage or injury that may Result, or is alleged to have resulted, from the use, consumption, ingestion, contact or other use of or from the ingredients I come in contact with and consume during The Palm Bar & Grill™ Wing Challenge.

• I testify that I am not inebriated or otherwise not of a sound mind, and I am fully able to make a sound decision about the participating, contact, and consumption of the ingredients used in The Palm Bar & Grill™ Wing Challenge.

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