Name of Young Chef:___________________________________________________________________________
Parent/Guardian:_______________________________________________________________________________
Address:__________________________________________________
__________________________________________________
Phone: __________________________________________________
Any electrical assistance required: YES/NO
Any photos taken by the festival of your team and/or equipment becomes the property of Georgia Great Steak Cook-Off.
Contestant agrees to indemnify and hold Hazlehurst-Jeff Davis County Chamber of Commerce, its employees and volunteers harmless from any and all claims made against the Chamber of Commerce, Steak Cook-Off, including without limitation, all costs, liabilities, judgments, expenses, damages, and attorneys’ fees, arising out of or in connection with (1) any structure erected by Contestant, (2) any apparatus, equipment, or personal property used by Contestant, (3) any act or omission to act of Contestant, its agents, invitees, participants, representatives, employees, servants, and agents, and (4) any claims made on account or resulting from Contestant’s participation in the contest.
I agree to abide by all Rules and Regulations of the Chamber of Commerce and the Georgia Young Chef Hamburger Cook-Off a division of the Georgia Great Steak Cook-Off.
Young Chef: ________________________________________
(signature required)
Parent/Guardian: _____________________________________
(signature required)
Cash Remittance
Entry Fee $20.00
__________Dinner Tickets @ $20.00 ________________
Total Enclosed ________________
Please mail this original document and remittance to: Hazlehurst-Jeff Davis County Chamber of Commerce
Entry Deadline is Friday, Feb. 18, 2011 - NO EXCEPTIONS!