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Sierra Lutheran Church

Sierra Lutheran Church

Chili Dog Eating Contest

Chili Dog Eating Contest

Entry & Release Form

Entry & Release Form

Name ____________________________________________________

Name ____________________________________________________

Age______________________________________________________

Age______________________________________________________

Contest Experience?________________________________________

Contest Experience?________________________________________

Competition Name__________________________________________

Competition Name__________________________________________

Estimated # of Chili Dogs you can consume in 10 minutes?

Estimated # of Chili Dogs you can consume in 10 minutes?

_________________________________________________________

_________________________________________________________

Suggested Donation $3.00

Suggested Donation $3.00

Signature_________________________________________________

Signature_________________________________________________

Date_____________________________________________________

Date_____________________________________________________

If under 18 Parent or Guardian Signature

If under 18 Parent or Guardian Signature

_________________________________________________________

_________________________________________________________

Date_____________________________________________________

Date_____________________________________________________

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