Kids Cook Off

NAME: _______________________ AGE: ______ GRADE: ________

SCHOOL: ___________________ HOBBIES: ___________________

MAILING ADDRESS: ______________________________________

TELEPHONE NUMBER: _____________EMAIL ADDRESS: __________________

NAME OF DISH: (DUE ON DAY OF COOK-OFF)

RULES FOR KIDS COOK-OFF

ENTRY FEE IS $25 MUST BE TURNED IN TO THE LAKE VILLAGE CHAMBER TO BE COUNTED IN AS PARTICIPANT

MUST BE 12 OR UNDER TO PARTICIPATE IN KIDS COOK-OFF

MUST BE ABLE TO PREPARE FOOD ON SITE WITH ADULT PRESENT

REGISTRATION IS DUE BY FRIDAY OCTOBER 20TH 5PM

ALL FOOD IS DUE BEFORE 2:30PM ON SATURDAY OCTOBER 28TH

FIRST PLACE WINNER WILL RECEIVE $100!

FOR MORE INFORMATION CONTACT: LAKE VILLAGE CHAMBER @ 870-265-5997

BY SIGNING BELOW, I UNDERSTAND THAT LAKE VILLAGE FALL FESTIVAL VOLUNTEERS, EMPLOYEES, OR CHAIRMEN OF THE FIRE ON THE WATER COOK OFF MAY SUBMIT PICTURES OF PARTICIPANTS FOR PROMOTIONAL PURPOSES TO NEWSLETTERS, NEWSPAPERS, OR SOCIAL MEDIA OUTLETS.

IN EXCHANGE FOR THE OPPORTUNITY TO PARTICIPATE IN FIRE ON THE WATER KIDS COOK-OFF, I ASSUME ALL RISKS AND INDEMNIFY AND RELEASE ALL SPONSORING AND/OR HOSTING ENTITIES, INCLUDING BUT NOT LIMITED TO THE CITY OF LAKE VILLAGE, THE LAKE VILLAGE CHAMBER OF COMMERCE, FIRE ON THE WATER BBQ COOK OFF AND THEIR EMPLOYEES, AGENTS AND VOLUNTEERS FROM ANY AND ALL LIABILITY FOR PERSONAL INJURY ARISING OUT OF MY CHILD’S PARTICIPATION IN THIS EVENT

PARENTS SIGNATURE______________________________________ DATE: __________________________

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