YXE Restaurant Registration Form

YXE RESTAURANT REGISTRATION

Deadline for registration is August 20th, 2025
Please fill out the form below-

This form is for registration and confirmation of participation only. We will be following up with the primary contact and email provided below throughout the next few months.

Important dates to remember:
- An email with menu and image requests will be sent out on August 20th.
- Menus, pricing, and images will be due no later than Aug 30th.
- Gift Cards Ready for pick up or digital email by August 30th
- Asset delivery to restaurants September 8-12th

Thank you for being part of BBBS 2025 YXE Poutine Fest!

#TakeABiteforMentoring
Restaurant Name? *
First Name   Last Name
Email*
     Street Address      City   Province
Phone Number*
Additional Contact information?(example, additional emails to be included when contacted)
Poutine Order Availability:*

In HouseDeliveryOnlineAll of the aboveOther
Round up to donate or donate option! With the implementation of online ordering systems, many local restaurants have used this opportunity to help create awareness of their local charitable giving. This year we are asking participating restaurants to consider using a donate to BBBS option in their online check out purposes or include a round up your bill to donate option. Disclaimer: Whilethese funds are a great addition to your donation, they will not count towards the GravyBowl numbers.*

Yes, we will participateNot this year
Upload High Resolution Logo

Cancelof
Willing to participate via media opportunities, such as content curation and media?*

YesNo
We are looking for videography pieces to mix with our media! If you are willing to pass along a file(s), please selet 'yes' and a team member will reach out to you. If a video piece is utilized your restaurant will be credited in the social copy. *
We agree to provide one $25 gift cards per participating restaurant and $25 cheque for marketing/ad runs per participating restaurant.Gift cards need to be ready for delivery or codes emailed to the Poutine Week Committee by August 30th.*

YesNo
Marketing Wishlist! Select which materials you will utilize:

4x4 Decal (use window or door)8x11.5 Poster18x24 Poster
Additional information for the YXE Poutine Team?!
Should be Empty:

YXE RESTAURANT REGISTRATION

Please fill out the form below-