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)