Chili Cook-off Registration Form

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Event Date: April 12, 2019
Thank you for participating. Please provide the following information to register.
Your registration includes one eat & play ticket which includes a bowl of chili, drink, dessert and 2 bingo cards.

Name: *

Email: *

Would you like your eat & play ticket? *

Yes

Ingredients in Chili: *

Basic ingredient information needed for allergies

Please pick one of the following forms of payment: *

Cash or Check will be drop off at Whiteman Elementary of $5 in a envelope with your name

I would like an invoice sent of $5.50 ($5 entry fee and $.50 processing fee)

Once we have received your payment, you will be getting an email confirmation with further details about this event. Thank you!!

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