BIRINGER FARM & MARYSVILLE MASONIC CRYSTAL LODGE #122

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Strawberry Festival
SHORTCAKE EATING CONTEST
MARYFEST, Inc.
P.O. Box 855
Marysville, WA 98270
BIRINGER FARM & MARYSVILLE MASONIC CRYSTAL LODGE #122
STRAWBERRY SHORTCAKE EATING CONTEST
ASBERRY FIELD
Saturday, June 16, 2012
Entries Due: June 14, 2012
OFFICIAL ENTRY FORMSTRAWBERRY SHORTCAKE EATING CONTEST JUNE 16, 2012
Entry fee: Children
First Name
Birth-date
ADDRESS
Home Phone
Cell Phone
$3.00
Teens/Adults
Last Name
AGE
(MM/DD/YY)
$5.00
(Male)
CITY
STATE
Email
Paid Amount
(Cash)
(Female)
ZIP
(Check #)
Collection bins for food donations will be available—one can of food equals $1.00 off entry fee.
All food donations to be given to the Marysville Food Bank.
COMPETITION CATEGORIES
Check appropriate age group competing in:
Royalty Challenges
5 – 7 years old
8 – 10 years old
11 – 13 years old
14 – 17 years old
Adult Open
Sponsored or Challenges
12:00 – 12:30
1:00 – 1:30
1:30 – 1:45
1:45 – 2:00
2:00 – 2:30
2:30 – 3:00
3:00 – to the last person standing
Disclosure: I ______________________ hereby release MARYFEST, Inc. d.b.a. the Marysville Strawberry Festival,
the Marysville School District #25, the City of Marysville, officers and /or agents, whose property and /or personnel
are used, from all claims, demands, damages, actions, causes of actions or suits of any kind or nature, including
claims for any and all injury and property damage or loss sustained as a result of any accident which may occur
during this event. This release is expressly intended to cover and include all claims, civil or otherwise, past, present,
or future, which can or may ever be asserted by the undersigned, their heirs or other as a result of injuries, illness,
disease or damage to property of aforesaid person or the effects or consequences thereon. The undersigned
hereby declares that the terms of this agreement have been completely read and are fully understood and
voluntarily accepted.
(Signature)
(Date)
(Printed Name)
(Phone Number)
(Parental Guardian Signature (if under the age of 18 years old)
(Date)
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