GRILLING ON THE RIVER '10
APRIL 9-10, 2010
ALONG THE RIVERWALK AT RUBENS FISH & STEAK HOUSE
OFFICIAL JUDGES ENTRY FORM
Name:
KCBS Judges #:
Address:
City:
State:
Zip:
Home
Phone:
Cell
Phone:
E-Mail:
Table Captain Cert. #:
Are you willing to be
Table Captain? YesNo
Are you a certified
Table Captain? YesNo
Will you be staying at a local hotel? YesNo
I AGREE TO ABIDE BY THE RULES & REGULATIONS OF THE KANSAS CITY BARBECUE SOCIETY. Copies available upon
request or on the web - www.kcbs.us.
WAIVER OF LIABILITY: In consideration of your accepting 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
I may have against Rubens Fish & Steak House and/or ÒGRILLING ON THE RIVERÓ Committee, their representatives, successors,
and assigns for any and all injuries suffered by me in this event. Further, I hereby grant full permission to the
ÒGRILLING ON THE RIVERÓ Committee or agents authorized by them, to use any photographs, videos, recordings or any
other record of this event for any legitimate purpose.
Please complete and return to: Harvey Myrick, P.O. Box 215, Columbus, MS 39703
THIS RELEASE MUST BE SIGNED OR ENTRY WILL NOT BE ACCEPTED.
Signature of Judge: _______________________________
