9^th Annual

INDIANA STATE CHAMPIONSHIP

BARBEQUE COOK-OFF

Madison, Indiana

August 20^st & 21^nd, 2010

SANCTIONED BY K.C.B.S. – QUALIFIER

“$12,000 in AWARDS AND CASH PRIZES THROUGH 10^th PLACE”

Celebrating 200 years – Madison’s Bicentennial

2010 OFFICIAL ENTRY FORM

Chief Cook________________________________________________________

Home Phone____________________ Cell Phone_______________________

Mailing Address: Street/P.O. Box___________________________________

City_____________________State_____Zip Code______

Team Name_______________________________________________________

E-mail Address____________________________________________________

TOTAL ENTRY FEE: $250.00 (Fees may vary if team desires to vend)

Please Check Categories Entered Below

• Chicken
• Pork Ribs
• Pork Shoulder or Boston Butt
• Beef Brisket
• BBQ Sauce
• Anything But – open –your choice(must go in a 9X9 container)
• Dessert – must include a “Madison” theme – visit website

www.visitmadison.org to see the sights and sounds

of historic Madison

Entry Fee Includes 20’ x 20’ Space for Friday and Saturday; for additional footage inquire about charge!!

Electric, Ice & Water Supplied; Indicate special needs_________________________

RV Space Available(Limited): Indicate needs__________________________________

One free t-shirt per team, please indicate size 4X 3X 2X 1X LG M

Additional t-shirts $15.00 each; indicate number_____

and sizes 4X 3X 2X 1X LG M

MAKE CHECKS PAYABLE TO: MADISON RIBBERFEST

601 WEST FIRST STREET

MADISON, IN 47250

For more information, please contact

Event Director Kathy Ayers 812.273.5551

KCBS Competition Chairman Ken Schneider 812.866.4723

e-mail kenandcj@roadrunner.com

Visitor’s Bureau e-mail info@visitmadison.org

Or visit us at www.madisonribberfest.com

I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE K.C.B.S.

COPIES OF THE RULES MAILED UPON REQUEST

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 any and all rights and claims for damages against K.C.B.S. and the Madison Ribberfest, and their agents, successors, and assignee, for any and all injuries suffered by me in this event. Further, I hereby grant full permission to the K.C.B.S. and the Madison Ribberfest 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.

Signature of Chief Cook________________________________ Date_______________