Ice cream eating entry form


27th Anniversary
Summerfest Celebration

Hershey’s ICE CREAM EATING CHALLENGE

ENTRY FORM

Sunday, July 17, 2016 at 3 pm

Registration Form must be completed & returned by 2:00 pm.


AGE GROUP:    8-12 years        13 & Over

PRIZE:   Braggin’ rights and free ice cream at Mulligan MacDuffer Ice Cream Parlor for one full year!

Everyone is invited to Mulligan MacDuffer’s at 3 PM to see who can devour a huge bowl of ice cream in the shortest amount of time. The first ten entries will be accepted.

Age Group (Circle One)   8-12   13 & Over

Name: ___________________________________________________________

Address: __________________________________________________________

_________________________________________________________________

Phone #: _________________________ Email: ___________________________

Waiver of all events

We understand that by signing this waiver we agree to hold harmless Mulligan MacDuffer Adventure Golf and all volunteers involved with this event. I waive and release Mulligan MacDuffer Adventure Golf, volunteers, their representatives and successors from all claims or liabilities of any kind arising out of our participation in this event.

NOT RESPONSIBLE FOR BRAIN FREEZES!


SIGNED:________________________________________ Date: ____________________

Parent or Guardian (if 16 or under): _____________________________________________