Great Goshen Grill Out & Cruise In 2008

ONLINE REGISTRATION   Back Yard Division

CHIEF COOK INFO.

FIRST NAME LAST NAME

ADDRESS

CITY STATE ZIP

PHONE FAX

EMAIL If no email, write None.

ENTRY FEE: $20
Entry fee covers all 4 categories and one 10' x 5' space

PLEASE CHECK A METHOD OF PAYMENT
Pay at check in( no guarantee of available space with this option first come first placed.)
CHECK
VISA
MASTERCARD
CREDIT CARD #
EXPIRATION DATE
TOTAL $

Please give a description of what you will be bringing to the site. I please state this in your comments below. We will make every effort to accommodate your needs.




WAIVER OF LIABILITY:
By clicking to accept 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 KCBS,
the Goshen Chamber of Commerce, Great Goshen Grill Out, their agents, successors, and
assignee, for any and all injuries suffered by me in this event. Further, I hereby grant full permission to the KCBS,
Goshen Chamber of Commerce, and Great Goshen Grill Out 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.