Non-Alcoholic Puzzle Competition Registration Form 2026

BTF Non-Alcoholic Puzzle Competition

Bell Tower Festival 2026
This fun new contest is a test of puzzle skill, appetite, and speed! This contest requires a Team of 4 to complete a 500 piece puzzle, drink 3 liters of pop, and eat a large pizza. Team registration is $100.00 and covers the puzzle, pizza, and drinks! MAY THE BEST TEAM WIN!

Sign Up Deadline: The last day to register is June 11th, 2026. Limit of 10 teams

Puzzle Competition: Friday, June 12th, 7:00 pm on the square

Check In: Friday, June 12th, 6:15-6:30pm. Check in at the Event Tent which is located on the southeast side of the square, by the intersection of Chestnut St and Lincoln Way.

Requirements: Teams of 4 (must include 1 woman) will complete a 500 piece puzzle, and eat a large pizza

Price: $100.00 for team of 4

Prizes: 1st place - $100.00 cashback!

Questions may be submitted to the BTF website contact form or directed to info@jeffersonmatters.org

Jefferson Matters: A Main Street & Chamber Community, 515-386-2155
Team Information
Name

First NameLast Name
Birthday

MonthDayYear
Date
Team Leader Phone Number
Format: (000) 000-0000.
Email
example@example.com
What type of pizza do you want?
What type of pop do you want?
I/We understand the risks involved, and in consideration for the opportunity to participate in the Bell Tower Festival, do hereby release any and all rights and claims for damages I may have now or hereafter against the Bell Tower Festival Committee, Jefferson Matters: A Main Street & Chamber Community, the City of Jefferson, or their respective agents, employees, representatives, successors, or assigns for loss, damage, injury, or liability of any nature which may be sustained by me in connection with participation in the Bell Tower Festival.
Participant Signature
Date Signed

MonthDayYear
Date

My Product

Registration Fee

$100.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

BTF Non-Alcoholic Puzzle Competition

Team Information

My Product