14TH ANNUAL BBQ COOK OFF

OHIO STATE CHAMPIONSHIP CONTEST

KCBS Sanctioned Contest - $10,000 in CASH, PRIZES/TROPHIES
Presented by The Nelsonville Area Chamber of Commerce
On the Historic Public Square, Nelsonville, Ohio
Friday October 15, 2010 8 AM—11PM Saturday October 16, 2010 -- 5PM
COOK OFF WEBSITE: www.nelsonvillechamber.com

OFFICIAL TEAM ENTRY FORM

TEAM NAME___________________________________________________________________
Pit Boss_________________________________________________________________________
Address_________________________________________________________________________
City_______________________________________ State_____________ Zip_________________
Phone________________________ Fax______________________ Cell______________________
Email__________________________________________________________________________
Number of Team Members__________________
ENTRY FEES:
KCBS BBQ CONTEST (Saturday 10/16/10) $200.00_________________
Entries paid after 9/6/10 $250.00
110v Electrical on site (you provide extension cords) Electrical Requirements _____________ FREE
Water in area (you provide hose & connectors) Water Requirements _________________ FREE

TOTAL AMOUNT ENCLOSED $ ___________________

Space Requirements _____________________________________________________________

Please register by September 6, 2010 - Entries paid after this date will be accepted at the discretion of the contest organizers
and a $50 late entry fee will be applied. Make checks payable to NELSONVILLE AREA CHAMBER OF COMMERCE. Mail to:
Nelsonville Area Chamber of Commerce, PO Box 276, Nelsonville, OH 45764, or Fax (740) 753-1019, or Email:
info@nelsonvillechamber.com. Credit Card payments accepted weekdays between 12 noon and 3 pm.

LIABILITY WAIVER
The Nelsonville Area Chamber of Commerce (Herein after known as event sponsor) grounds and KCBS Organizers, including its members, officers, sponsors,
and/or associates and the contestants, including parents, and/or legal representatives, agree that the event sponsor, event host, and KCBS will in no case be
responsible for any loss, damage or employee’s act regardless of how much loss, damage or injury is occasioned, and agree to indemnify and hold harmless
the event sponsor, event host, and KCBS from any and all claims, suites or judgments including the cost of defense of any claim arising from such action
against the event sponsor, event host, and KCBS. Furthermore, I hereby grant full permission to the event sponsor, event host, and KCBS and/or their agents
to use any photographs, videotape, or any other record of this event for legitimate purposes.

I have read and understand and agree to abide by all KCBS rules governing the 14th Annual Ohio Smoked Meat and Barbecue Festival presented by the event
sponsor, event host, and KCBS.

SIGNED _______________________________________________________ DATE_________________________

Print Name______________________________________________________ Parent Signature if under 18 years of age