Official Sanctioned Event of KCBS

4th Annual Barbourville BBQ Cook-Off& Festival June 16 & 17

Official Sanctioned Event of KCBS

2017 PROFESSIONAL TEAM APPLICATION

(20% entry fee discount if paid by March 1, 2017)

Team Name: ______

Head Cook: ______Date of Birth: (must be 21 or older) ______

Address: ______

City: ______State: ______Zip: ______

Phone: (______) ______Cell Phone: (______) ______

Email: ______KCBS Team #______

Barbourville BBQ Cook-Off is held @ Thompson RV Park, 538 South Main Street, Barbourville, KY.

PAYMENT IN FULL MUST BE RECEIVED WITH YOUR APPLICATION

Campsite

Each site: Lot size 20’ x 40’ with approx. 12’ middle area being concrete or gravel; water faucet; sewage connection; and free cable & Wi-Fi

Electric available, check what you need: ___50 amp 240V breaker ___30 amp 120V breaker; ___20 amp 120V

Entry into all 4 Meat categories: Ribs, pork, brisket, chicken: $250 (20% discount paid by March 1st)

Teams receive one Free T- Shirt. Size of my FREE shirt ______. Additional T-Shirts $15 ea.

List number of additional shirts for each size: ____S ____M ____LG ____XL ____2X ____3X ____ 4X

Total registration amount enclosed$______Make check payable to:

Barbourville Tourist & Recreation Commission and mail to:

Attn: Denise Wainscott, Tourism Director

P.O. Box 1766, Barbourville, KY 40906

Check#______Amount Sent: ______

We accept Visa and MasterCard ONLY: Credit card: (Circle one) Visa MasterCard

Number on card: ______Expiration Date______

3 digit security code______Name on card: ______

Liability Release: In consideration of your accepting this entry I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, assignees, personal representatives, executors, administrators, and next of kin release and indemnify, and hold harmless Barbourville BBQ Cook-Off, it’s parent and affiliated companies, the officers, officials, directors, shareholders, agents, event sponsors, sponsors, advertisers, and, if applicable, owners and leasers of the premises and property used to conduct the event(“Releases”), with respect to any and all injury, found to have caused in whole or in part by my negligence or intentional misconduct , whether arising from the negligence of the releases, or otherwise, to the fullest extent permitted by law. In consideration for permission to participate in any Barbourville BBQ Cook-Off, I (“contestant”) here by grant Barbourville BBQ Cook-Off, it’s assignees, event sponsors, and/or licensees (including television production companiescontracted by Barbourville BBQ Cook-Off), the unconditional right to use my name, voice, image, image in a video format while participating in a cook off, photogenic likeness, biographical information, cooking tips and/or instructions in any medium whatsoever, including but not limited to video/audio productions, merchandising, promotions, articles and/or press releases, in connection with the Barbourville BBQ Cook-Off without restriction as to changes or alterations at any time. I understand that I will not be entitled to receive any compensation.

COOK TEAM COMMENTS: ______

______

Confirmation will be emailed within 30 days of receipt of application and payment. Make sure to PRINT LEGIBLY. For more information call: 606-545-9674 or 606-545-0629 or email organizer, Denise Wainscott at: