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Judges Entry Form
Return your application by September 1st to
Tennessee State BBQ and Fall Festival
David & Zetty Bell
"Salty Acres"
6909 Buttermilk Rd
Lenoir City TN 37771-7214
Name:_____________________________
Address:___________________________
City: ______________State:___ Zip:____
EMAIL:_______________________________
Best Phone# to reach you at:
( )_____-________ Cell( ) Home( ) Business( )
KCBS Cert# _____ Certified Since -_____ Current KCBS Member______________
Certified Table Captain? _____ Cert # _____
Last 4 Contests where you Judged:
1) Contest________________ Date ______
City, State _____________________
2) Contest _______________ Date ______
City, State _____________________
3) Contest ________________ Date _____
City, State _____________________
4) Contest_________________ Date _____
City, State _____________________
We will be needing judges on Friday night. Circle Yes or No if you will be at the contest on Friday. YES NO
Place a "1" for your 1st choice and a "2" for your second choice. If you will not or cannot perform a certain roll, just leave it blank.
Judge____ Table Captain____
Waiver of Liability:
By accepting and returning this entry, I the undersigned, knowingly legally bound to this agreement, hereby for myself, my heirs, executers and administrators, waive and release any rights and claims I may have against Tennessee State BBQ and Fall Festival (hereafter TSBFF), their agents and assignees for any reason and all injuries suffered by myself and my team in this event. I also grant full permission to the above mentioned TSBFF to use my photograph, name, likeness, recordings, videotapes or any other record of this event for any legitimate purpose. I understand that soliciting any other non-KCBS sanctioned event at TSBFF is not permitted. Myself and my team agree to abide by all rules and regulations TSBFF and KCBS have put into effect for this event. I agree to release TSBFF and KCBS of any liability suffered by myself or other parties in my group during this event. WAIVER OF LIABILITY MUST BE SIGNED
Signature of JUDGE _______________________________________ Date_____________________________________
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