Participant Form

Interested in participating in the trivia game for Samples n’ Friends? Fill out the details below. 

Participants will be selected and called randomly during the event. 

Please be aware that by participating, you grant Samples n’ Friends, its Event Sponsors, its Successors, Assigns and Licensees permission to utilize your name, image, likeness, acts, poses, plays, appearance, movements, and statements in any live or recorded audio, video, or photographic display or other transmission, exhibition, publication or reproduction made of, or at, the event (regardless of whether before, during or after event) for any purpose, in any manner, in any medium or context now known or hereafter developed, without further authorization from, or compensation to, you or anyone acting on your behalf.