Entry Form - Southern Pines Blues & Bbq printable pdf download

SANCTIONED BY THE

Forest Capital State Park - Highway 19 South - Perry, Florida

ENTRY FORM

Entry Deadline: December 4, 2016

Southern Pines Blues BBQ Festival &

Professional BBQ Competition

Team Name: ________________________________________________________________________________________________

Head Cook: _________________________________________________________________________________________________

Address: ____________________________________________________________________________________________________

City: ______________________________________________ State: __________________________ Zip: ______________________

Day Phone: _______________________________________ Evening/Cell Phone: __________________________________________

Fax: _____________________________________________ Email: _____________________________________________________

DIVISION $75.00 PER MEAT:

OR $250.00 TO ENTER ALL 4 Categories

= _____________________________________________

Must compete in four categories: Chicken, Ribs, Pork, and Brisket to be eligible for OPEN Best Overall awards and cash prizes. Must

enter a minimum of two meats to compete. (IF YOU ARE INTERESTED IN THE BACKYARD BBQ Division—CALL OUR OFFICE

FOR DIFFERENT APPLICATION!)

I will come in early and spend Thursday Night ($25.00) -

No Extra Charge For Those Entering ALL 4

CATEGORIES): ___________

I would like to stay over Saturday Night (No Extra Charge): _____________________________________________________________

I would like to vend BBQ (I agree that I am responsible for

my own licensing requirements) :____________________

OPEN Competition Fee:

$________________________________________

Mail your check and completed form to:

Thursday Night Fee:

$________________________________________

Total Enclosed:

$________________________________________

Perry-Taylor County Chamber of Commerce

Paid by Check: _________________

Cash: ___________________________

C/O Blues BQ OPEN BBQ Event

PO Box 892

If Camper—Size: _____________________________________________________

Perry, FL 32348

Waiver of Liability: In consideration in your accepting this entry, I the undersigned, intending to be legally bound, hereby for myself, my heirs, executors, and adminis-

trators, waive any and all right and claims for damages I may have against the Southern Pines Blues & BBQ Festival, the Perry-Taylor County Chamber of Commerce,

the Tourism Development Council or the Taylor County Board of County Commissioners and their representatives, successors, and assigns for any and all injuries

suffered by myself or my team in the event. Further, I hereby grant full permission to the event organizers and/or other agents authorized by them to use photographs,

videotapes, recording, or other records of this event for legitimate reasons. I agree to abide by the rules and regulations of the Southern Pines Blues & Open BBQ

Competition, and I have read the FBA Rules and Regulations and will abide by them.

Sign: ___________________________________________________________________ Date: ________________________________________