| THE ANNUAL BRUCEVILLE- EDDY EMS & VFD CHILI COOK-OFF ENTRY FORM SATURDAY & SUNDAY SEPTEMBER 19th & 20th, 2009 |
THE PERSON COMPLETING THIS FORM MUST BE 18 YEARS OF AGE OR OLDER.
Please Print or Type:
Name:____________________________________________________________________________
Address:___________________________________E-Mail__________________________________
City:__________________________Zip Code:______________Phone #_______________________
Please Print or Type:
Name:____________________________________________________________________________
Address:___________________________________E-Mail__________________________________
City:__________________________Zip Code:______________Phone #_______________________
| ENTRY FEE : $ 18.00 PER ENTRY JACKPOT BEANS - SATURDAY ONLY: $ 10.00 Extra (Check here to Enter______) |
The undersigned, in consideration of the provision of activities provided by the Bruceville - Eddy Volunteer Fire
Department , EMS, the City of Bruceville-Eddy, Chili Appreciation Society International, Inc. do, for myself, my heirs
and my executors remise, release and forever discharge the Bruceville-Eddy Fire Department, EMS, the City of
Bruceville-Eddy and Chili Appreciation Society International, Inc. of and from all manner of action or actions, cause of
causes, suites, debts and sums of money, claims and demands whatsoever, in law or equity, which may arise from my
participation in any activity sponsored by the Bruceville-Eddy Fire Department, EMS, the City of Bruceville-Eddy and
the Chili Appreciation Society International, Inc..
Department , EMS, the City of Bruceville-Eddy, Chili Appreciation Society International, Inc. do, for myself, my heirs
and my executors remise, release and forever discharge the Bruceville-Eddy Fire Department, EMS, the City of
Bruceville-Eddy and Chili Appreciation Society International, Inc. of and from all manner of action or actions, cause of
causes, suites, debts and sums of money, claims and demands whatsoever, in law or equity, which may arise from my
participation in any activity sponsored by the Bruceville-Eddy Fire Department, EMS, the City of Bruceville-Eddy and
the Chili Appreciation Society International, Inc..
| RELEASE OF LIABILITY |
| OFFICIAL CASI RULES Please click on above link and READ the Official CASI Rule Book. ___________________________________________________________ *Your Signature indicates you have READ the Rules and Regulations* |
| Please Remember To Register Early Spaces With Electricity Are Limited Please Make Checks or Money Orders Payable to: B - E EMS Please Mail Entry Form & Payment(s) To: B - E EMS CHILI COOK-OFF P. O. Box 33 Eddy, TX 76524 -0033 Questions Please Email Mavis Nelson at rdnmrn@hot1.net |
| OFFICIAL PRIZE LIST 1ST - 10TH PLACE - PRIZE JACKPOT BEANS SATURDAY ONLY - 50/50 SPLIT |
| PRE-REGISTERING IS NOT NECESSARY BUT IS VERY MUCH APPRECIATED |
