Dip Off Registration

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This form is for individuals in the Rolla (and surrounding) area who would like to register to enter a dip for the LGBTQ+ Rolla and The Rolla Mission Dip Off Fundraiser event.
There are four dip categories: cheese, sweet, savory, and miscellaneous. A winner/prize will be awarded for each category based on votes cast by event attendees. Please anticipate providing a dip and dip-able item (such as chips, bread, crackers, veggies, etc.) with enough "single bite" servings for 100 people (e.g. 1-2 chips + 1 small scoop salsa).
Single-serve containers for dipping will be provided by event organizers.
Thank you so much for your support!

Email *

First Name *

Last Name *

Pronouns

Phone Number (cell preferred) *

What category of dip do you prefer to enter? *

Cheese

Sweet

Savory

Miscellaneous

Required

Please provide a brief description of your dip or indicate that you are undecided *

Any questions, comments, or additional information you'd like to share?

Registration Fee *

Registration - $10

Registration Plus Fees - $10.84

Optional Additional Donation Amount - $

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