Name *

First Name

Last Name

Phone *

(###)

###

####

Checkbox *

I agree to receive automated text reminders about my BOLD100 tasting slot.

I agree to receive automated text reminders

Checkbox *

BOLD100 MEDIA RELEASE By submitting this form and checking the box below, I confirm that I am voluntarily participating in the AfroFire Wings BOLD100 program. I give AfroFire Wings, LLC full permission to record, use, and share my name, likeness, voice, photo, video, and tasting feedback in any media, on any platform, and in any location in connection with the AfroFire Wings brand. This includes, but is not limited to, public store displays, websites, social media, marketing campaigns, investor materials, and press coverage. I waive any right to review or approve how this content is used. I also voluntarily assume all risks associated with food tasting, including potential allergic reactions. I understand that this release is permanent, global, and irrevocable.

I agree to the BOLD100 Media Release terms and give AfroFire Wings permission to use my name, likeness, and feedback publicly.