4th Annual Grillz and Wheelz State Championship Memorial Cookoff

Head Cook *

First NameLast Name

Team Name *

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

YesNo

If “Yes” how long?

Categories*

Main Meats

Brisket, Chicken, Ribs

$225.00 Quantity

Jackpot Ribeye Steak

Must be cooked onsite (50/50 payout)

$25.00 Quantity

Jackpot Margarita

Must be prepared on site (50/50 payout)

$25.00 Quantity

Jackpot Beans

Anything goes Must be cooked on site (50/50 payout)

$25.00 Quantity

Jackpot Kids Q

Anything goes Must be cooked on site (50/50 payout)

$25.00 Quantity

Jackpot Chili

Anything goes Must be cooked on site (50/50 payout)

$25.00 Quantity

Gold Sponsorship

$1,000.00 Quantity

Silver Sponsorship

$500.00 Quantity

Bronze Sponsorship

$250.00 Quantity

MWR Supporter

$100.00 Quantity

Credit Card

Select the Team Entry (limit 1 entry per team; $175/team) and any Jackpots ($25/jackpot entry) from the list below.

You will be required to pay with a credit or debit card when submitting this form. This form will not submit without payment. The payment goes through Square, the same program we process credit/debit card payments through at the cookoff. Your personal and card information is secure.

You will receive an e-mailed receipt immediately upon payment. Ensure your e-mail address is correct above.

Please let us know if you have any questions.

Head Cooks Signature

4th Annual Grillz and Wheelz Memorial Cookoff STATE CHAMPIONSHIP

Credit Card