2017 Independence Fire & Ice BBQ Online Registration

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When: October 6-7, 2017
Where: Silverstein Eye Centers Arena | 19100 E Valley View Parkway, Independence, MO 64055
Questions: Contact team coordinator Dillan Esco at dillan_esco@comcastspectacor.com

Team Name *

Chief Cook *

Phone (Day) *

Phone (Night) *

Address + City/State/Zip *

E-mail *

Standard entry fee is $200 for one space size (approximately 27' x 18') and entry in all 4 KCBS categories: Pork Ribs, Chicken, Pork and Beef Brisket. There will be an additional fee of $10 each for sausage, dessert and Kids' Q. Team spaces will be located in a paved parking lot. *We will do our best to honor your location request but no promises*

Select additional categories *

Sausage (additional $10)

Dessert (additional $10)

Kids' Q (additional $10)

None

Required

Team Space Size Selection *

Team Space A (approx. 27' x 18') for $250

Team Space B (approx. 45' x 18') for $350

Electricity (additional $35 per circuit) *

Yes, I would like to add electricity for an additional $35 per circuit. Please note, electrical hookups are limited - 20 amp circuit maximum.

No, I do not want to add electricity.

If you want electricity, how many circuits? (type NA if you are not purchasing electricity) *

Are you bringing an RV? *

Yes

If you are bringing an RV, please indicate the total length and type below. (type NA if you are not bringing an RV) *

If you are registering a Kids' Q participant, please enter their name and age below. (type NA if you are not registering anyone in the Kids' Q) *

ENTRY DEADLINE IS OCTOBER 6, 2017. TEAM ENTRIES LIMITED TO SPACE AVAILABILITY.

Release - Waiver of Liability
In consideration of your accepting this entry, I, the undersigned/agreed, recognize that Spectra Venue Management, the Independence Events Center Management Corporation, the City of Independence, and any of its co-sponsors including other entities, their employees, or agents assume no responsibility for me or members of my group. I will assume all risks that arise from participation. I also hereby waive any claims against Spectra Venue Management, the Independence Events Center Management Corporation, the City of Independence, its co-sponsors, their departments, officers, employees, or agents for any inquiries or loss that arise from participation. Further, I grant full permission to the Independence Fire & Ice BBQ Committee or agent authorized by them, to use any photographs, videos, recording or any other record of this event for any legitimate purpose.

I understand, acknowledge and accept all terms listed above. *

Yes

PLEASE CALL 816-442-6111 TO ARRANGE PAYMENT WITHIN 72 HOURS OF SUBMISSION.

Method of Payment *

Check (must bring to Silverstein Eye Centers Arena box office during regular busines hours)

VISA, Mastercard, Discover, American Express (may call 816-442-6111 to give information)

I understand that I must call 816-442-6111 within 72 hours of submission to arrange my method of payment. I understand I will not be fully registered until I do so. *

Yes

Submit

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