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        CRK Specialty "Q", Dan Cannon
 
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      | Surf
      and Turf Barbecue Contest 2003Entry Form
Print
  this form, fill it out and mail it to address belowNAME:
      ______________________________________________________HOME
      PHONE:   ___________________ WORK
      PHONE:  ___________________
 ADDRESS:  ___________________________________________________
CITY: 
      _____________________________________________STATE: 
      _____________  ZIP: ___________
 TEAM NAME ___________________________________
#
      OF MEMBERS_______________________
 TOTAL ENTRY FEE: $200       $2,500 in cash
      prizes
 
 Circle categories you wish to enter
 
 CHICKEN
 PORK (shoulder or butt)
 RIBS PORK
 BEEF BRISKET
 SEAFOOD
 ALL
      5 CATEGORIES
 ENTRY FEE INCLUDES 10 X 20 SPACE FOR FRIDAY NIGHT
 
 Hotel Rooms are available at the Sandcastle Inn (619) 286-2100
 
 INDICATE SIZE: 10 X 20 SPACE___ $30.00 EXTRA FOR 10 X 40 ___
 
 We need to know what Amperage is needed _________
 
 MAKE CHECK PAYABLE TO: Surf & Turf Community Events Inc.
 
 MAIL TO: Gene Goycochea, P.O. Box 96, Imperial Beach, California 91933
 
 For more information call: Gene Goycochea at 619-520-5741 or email gene@cbbqa.com
 
 I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE K.C.B.S.
 COPIES OF RULES AND REGULATIONS MAILED UPON REQUEST
 
 RELEASE:
 WAIVER OF LIABILITY: In consideration of your accepting this entry, I, the
      undersigned, intending to be legally bound, hereby for myself, my heirs,
      executors and administrators, waive and release any and all rights and
      claims for damages against the K.C.B.S. and Surf & Turf Community
      events inc., and their agents, successors, and assigns, for any and all
      injuries suffered by me in this event. Further, I hereby grant full
      permission to the K.C.B.S. and Surf & Turf Community Events Inc., City
      of Imperial Beach, San Diego Unified Port District and/or agents
      authorized by them, to use any photographs, videotapes, motion pictures,
      recordings and any other record of this event for any legitimate purpose.
 
 
 Signature of Chief Cook _________________________________
      Date____/_____/______
 
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          CRK Specialty "Q"Copyright © 2002 by [CRK Specialty "Q"]. All rights
          reserved.
 Revised: 12 Dec 2007 11:50
          .
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