Check, Please! Arizona Guest Application
The restaurant description you submit might qualify for use on our Web site, azpbs.org, even if you are not selected to participate in the show.

By completing this form you are allowing Arizona PBS and Check, Please! Arizona to contact you via email.

First Name:
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Last Name:
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Occupation:
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Address:
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City
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State:
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Zip Code:
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Daytime Phone:
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Email:
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Date of Birth (We won't tell):
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Ethnicity:
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If selected, you will be required to visit and review two other Valley of the Sun restaurants as part of the show. Are you willing and able to travel within a 50-mile radius of Phoenix?
Required
List the foods you do NOT or CANNOT eat:
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Your Restaurant Recommendations:
List your three favorite valley restaurants below (restaurants must be 3 years in operation.)
First Recommendation:
Restaurant 1 - Name:
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Restaurant 1 - City:
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Restaurant 1 - Phone Number:
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Restaurant 1 - Type of Cuisine:
Your answer
Second Recommendation:
Restaurant 2 - Name:
Your answer
Restaurant 2 - City:
Your answer
Restaurant 2 - Phone Number:
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Restaurant 2 - Type of Cuisine:
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Third Recommendation:
Restaurant 3 - Name:
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Restaurant 3 - City:
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Restaurant 3 - Phone Number:
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Restaurant 3 - Type of Cuisine:
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Why are you interested in participating in Check, Please! and why will that make you a good guest?
(Maximum 2500 characters w/spaces.)
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Write a detailed description of your experience at of ONE of the three valley restaurants you listed above. This restaurant will likely be the one you and the other guests will review for the program. To ensure you don't lose your copy it is a good idea to write your review in a text editor, save it, and then paste it into the form field.
(Maximum 3500 characters w/spaces.)
Your answer
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