KVOE & BRUFF’S 4^th ANNUAL STEAK CHALLENGE

OFFICIAL ENTRY FORM

Team Name: _________________________________________ Number on Team: ________________

Chief Cook Name: _____________________________________________________________________

Other Names: _______________________________________________________________________

Address: ____________________________________________________________________________

Daytime Phone: _____________________________ Evening Phone: ____________________________

Email: ______________________________________________________________________________

Entry Fee of $100.00: To be paid by the date & time of Saturday, October 20, 2012 at 10:00 AM.

Teams will receive two 20 oz. Rib-Eye Steaks.

Grand Prize Winner will be chosen by the Bruff’s Judging Team.

Winners will receive a plaque.

Contact information: Emporia’s Radio Stations Phone 620-342-1400 Email: kvoe@kvoe.com

Limited space available – please pre-register.

All Entries: I understand that no refund of the entry fee will be made once I have been accepted into the contest. I agree to abide all rules, regulations and decisions of the Bruff’s Judging Team. Chief Cook must be over the age of 21 to be accepted and to participate in this event. Proof of identity and age may be required. Proceeds will be donated to Emporia Child Care Emporia, Kansas.

Waiver of Liability: In consideration of accepting this entry, I, the undersigned intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release all rights and claims for damages I may have against the promoters and sponsors of the Bruff’s Steak Cook Off, and their agents, successors and assigns for any and all injuries suffered by me and my team in the event. Further, I grant full permission to Bruff’s Bar & Grill and/or agents authorized by them, to use any photographs, video tapes, motion pictures, recording or any other record of this event for any legitimate purpose.

Signature of Chief Cook: __________________________________________________ Date:___________________________

Please print name: ______________________________________________________