JEFFERSONVILLE SMOKIN’ ON THE RIVER
INDIANA STATE CHAMPIONSHIP BARBEQUE COOK-OFF

$7,500 in CASH PRIZES PLUS AWARDS THROUGH 5TH PLACE

2010 OFFICIAL ENTRY FORM

Smokin' on the River 2010 logo

Jeffersonville, Indiana June 18th & 19th, 2010

Sanctioned by KCBS - QUALIFIER

Complete, Sign, and Return This Form With Your Payment

TOTAL ENTRY FEE: $250.00 — EVENT LIMITED TO FIRST FORTY TEAMS ONLY!

Please Check Categories Entered Below:

Chicken       Pork Ribs      Beef Brisket     Pork Shoulder or Boston Butt

Steak ( $25 extra, cook's choice)

Dessert( $25 extra, must include chocolate as an ingrediant and be prepared on site)


Additional Requirements

Entry Fee includes 20’X30’ space for Friday and Saturday; for additional footage inquire about charge

Thursday setups allowed after 5:00 p.m.

Electric and Water Supplied.

Please indicate special needs below:

Limited RV Space Available.

Please indicate RV needs below:

One free tee-shirt per team please indicate size:

Additional tee-shirts $10 ea. indicate amount and sizes:

Make Checks Payable To:

SMOKIN' ON THE RIVER
Room 212
500 Quartermaster Court
Jeffersonville, IN 47130

For more information, please contact Dan Skaggs at 502.259.8734, e-mail skaggs_daniel@yahoo.com, or visit us at www.smokinontheriver-jeff-in.com

I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE KCBS.
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 KCBS anD SMOKIN’ ON THE RIVER, 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 KCBS and SMOKIN’ ON THE RIVER 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 _____________________