Hot Wings Challenge Contestant Application Form
Must raise a minimum of $150.00 to participate
Participant Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email
*
Date of birth: (Must be 18 to enter)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Do you have any food allergies?
*
Yes
No
List food allergy below
List a fun fact about yourself
*
* Checks, Cash, Venmo accepted
Top 15 fundraisers qualify for a seat at the Hot Wings Challenge Table.
Should be Empty: