Cobblestone Live Eating Contest
Presented by Wingnutz
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Confirm Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birthday
*
-
Month
-
Day
Year
Date
T-Shirt Size
*
Please Select
SMALL
MEDIUM
LARGE
XL
XXL
XXXL
Let us know why we should choose you...
*
Pictures / Videos for reference on why we choose you!
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Do you have any allergies that could affect your participation in this contest?
*
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Yes
No
If you answered yes to the above question, please describe.
Do you understand that we may use a photograph or videotape of you during this contest recognizing it will be used for promotional purposes?
*
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