GOM Registration Page – City of Minden

Name of Team*

Name of Head Cook*

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Alt. Cell Phone*

Cell Phone*

NOTE: Limited Water and Electricity (110V) will be available but you will need to bring long extension cords and hoses (Rated 20A). This is First Come, First Serve with prepayment and pre-registration by June 4, 2021. There are No RV Hookups in Competition Area. Cooks must compete in all three meat categories to be considered for grand champion. We will have a People’s Choice Contest with provided Pork Butt Roasts. The winner will be decided by the public through a tasting cup program. If you wish to participate in this contest, please check below. There is no opportunity to sign up for this after registration deadline. The winner receives a $500 Cash Prize!*

Yes, I will Participate
No, I will not participate

By signing below, I acknowledge that I am voluntarily participating in the Grilling on Main Cook-Off. I hereby assume full responsibility for all liability and all risk of injury or loss, including death, which may result from my participating in this program. I hereby hold harmless, release, waive, forever discharge and covenant not to bring legal action or claim against the Grilling On Main from any and all claims or demands I may have by reason of any accident, illness, injury or death, or damage to or loss or destruction of any property, arising or resulting directly or indirectly from my participating in the program and occurring during such participation or any time subsequent thereto. I further agree to follow all rules of the BCA (Barbecue Competitor Alliance). I also hereby acknowledge that my participation in the program does not in any manner establish an employer-employee or agency- employee relationship with the Grilling on Main. This General Release and Waiver of Liability of all claims is binding on my heirs, executors, administrators and family members and any and all persons pursuing a claim on my behalf, on behalf of my estate or against me or my estate. By signing below, you are agreeing that you understand and agree to all terms. All team members (limit 4) MUST SIGN this document in order to be considered for participation in the Grilling on Main Cook-Off.*

Full Name

Consent*

I acknowledge that I am voluntarily participating in the Grilling on Main Cook-Off. I hereby assume full responsibility for all liability and all risk of injury or loss, including death, which may result from my participating in this program. I hereby hold harmless, release, waive, forever discharge and covenant not to bring legal action or claim against the Grilling On Main from any and all claims or demands I may have by reason of any accident, illness, injury or death, or damage to or loss or destruction of any property, arising or resulting directly or indirectly from my participating in the program and occurring during such participation or any time subsequent thereto. I further agree to follow all rules of the BCA (Barbecue Competitor Alliance). I also hereby acknowledge that my participation in the program does not in any manner establish an employer-employee or agency- employee relationship with the Grilling on Main. This General Release and Waiver of Liability of all claims is binding on my heirs, executors, administrators and family members and any and all persons pursuing a claim on my behalf, on behalf of my estate or against me or my estate. By signing below, you are agreeing that you understand and agree to all terms. All team members (limit 4) MUST SIGN this document in order to be considered for participation in the Grilling on Main Cook-Off

List Team Members*

1	2	3	4

RETURN THE FORM AND $165 CHECK OR MONEY ORDER MADE PAYABLE TO MINDEN MAIN STREET PROGRAM TO: Minden Main Street, P.O. BOX 580, Minden LA, 71058-0580 OR drop by Minden City Hall, 520 Broadway, Minden LA. Additional information, contact Mahala Hutto, 318-371-4258, mainstreet@mindenusa.com.

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Registration Forms

Contestant Entry Form

RETURN THE FORM AND $165 CHECK OR MONEY ORDER MADE PAYABLE TO MINDEN MAIN STREET PROGRAM TO: Minden Main Street, P.O. BOX 580, Minden LA, 71058-0580 OR drop by Minden City Hall, 520 Broadway, Minden LA. Additional information, contact Mahala Hutto, 318-371-4258, mainstreet@mindenusa.com.