Kids Cook-Off Entry

Kids Cook-Off Challenge Entry Form

By willingly entering this contest, you consent to allow the use of your likeness(es) in future promotional materials, whether in print or online form, for Golden Circle Special Needs Association, Big T Memorial Cook-Off and Big T's Family Bash.

* Indicates required field

Participant's Name *

First

Last

Date of Birth (mm/dd/yyyy) *

Age Division (Choose One) *

SIZZLERS (8-11 yrs) JUNIOR (12-15 yrs) SENIOR (16-18 yrs)

Parent's Name *

Parent's Phone Number (where you can be reached during event) *

Email *

I certify that I am the parent/legal guardian of the above-named minor child and that I give my permission for him/her to participate in the cooking event. I have read the rules sheet, and I assume full responsibility for my child and his/her actions during the cooking event. I release and hold harmless all board members and staff of Golden Circle Special Needs Association and Big T's Family Bash from any liability arising from participation in the cooking event. I also give permission for the below-named adult mentor (if applicable) to be responsible for me child if I am not present during the event.

Parent/Legal Guardian Signature *

I agree to the above statement

**Complete below only if parent/guardian will not be present during the cooking event**

IF APPLICABLE: This person (if no parent is present) must be present at the cook site for the entire contest. NO EXCEPTIONS!!

Adult Mentor Name (different from parent) *

First

Last

Mentor's Phone Number (where he/she can be reached during event) *

I certify that, by agreeing below, the mentor is over the age of 18 and that he/she agrees to be responsible for the above-named minor child and his/her actions during the cooking event.

Parent/Legal Guardian Signature *

I agree to the above statement

Submit