FieryChickz Waiver

image
image

Fiery Reaper Level Waiver & Release of Liability Waiver Form

By accepting & Submitting this Fiery Reaper Level Waiver and Release of Liability Form I hereby release FieryChickz. from any liability, whatsoever with regards to The Fiery Reaper Level.

I acknowledge that there are certain risks associated with the activity of consuming the Fiery Reaper Level. The risk and dangers are but not limited to increased use of profanity, burning sensation of the mouth, lips, profuse sweating, bodily injury or even death.

I am eating the Fiery Reaper Level willingly.

I certify and confirm that I am over 18 years of age or older, and that I have legal capacity to sign this Fiery Reaper Level Waiver and Release of Liability.

Sign the Form

Required fields are marked *

Please enter your name.
Please enter a valid email address.
Please enter a valid phone number.
Please enter a comment.
Please check the box.
image
image