Cereal Eating Challenge Form

Please fill out the following form. Any one under the age of 18 must have consent from Parent or Guardian to compete.

Challenge starts in Sunday October 12th, 2025 at 3pm

Prize: $200 cash, Trophy, 1 free Milkshake, or Cereal per day for 1 year

& Name/Picture on Wall

Competition Rules: The participant who can eat the most bowls of Cocoa Pebbles, Berry Pebbles, or Fruity Pebbles within 10 minutes will be declared the winner.

Location: The Spelled Milk

712 W Davis St, Dallas, TX 75208

First name

Last name

Phone

Date of birth

Month

Day

Year

Are you under the 18 years old?

Yes

Do you have any allergies or medical conditions that could effect your health during the challenge?

Yes

If you answered 'yes' to having allergies or medical conditions, please provide details below to ensure your safety and well-being is able to compete

If Under the Age of 18 will need Consent of Parent or Legal Guardian to compete in the Challenge

Entry Fee

The entry fee will be donated to a local charity. $0

I declare that the info I’ve provided is accurate and complete.

CEREAL BAR & Dessert ICE CREAM LOUNGE

Cereal Eating Challenge Form

If Under the Age of 18 will need Consent of Parent or Legal Guardian to compete in the Challenge

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