11
th
Annual Chili Day in Cutler Bay
(Unsanctioned Cook-off)
Cutler Ridge Park- 10100 SW 200 Street- Saturday, January 25, 2020
Chef’s Registration Form
Registration Deadline- January 20, 2020
TEAM NAME:_______________________________________________________________________________________
Chef Name(s):________________________________________________________________________________
Address:___________________________________________________________________________________________
City: ____________________ State: __________ ZIP: _________________
E-mail Address:_____________________________________________________________________________________
Chef Cell #(s):________________________________________________________________________________
Category:
Check each
category that
applies in your
Division
Amateur
Restaurant
Firehouse
Fun
No Prizes Awarded
Payment Information
For Office Use Only
Chili
$25.00
$25.00
$0.00
$0.00
Total Amount Due
Salsa
$25.00
$25.00
N/A
$0.00
Receipt #
Cornbread
$25.00
N/A
N/A
$0.00
Date Rec.
GENERAL AGREEMENT / RELEASE
In consideration for the Town of Cutler Bay Parks and Recreation Department providing the requested activity, I do hereby: Head
Chef (PRINT NAME):________________________________________________________________
1) Assume all risk of possible damage or injury through my participation in this Town of Cutler Bay activity.
2) Agree to compensate the Town of Cutler Bay for any repair and/or replacement costs for damages to the facility or equipment as
a result of my misuse of the equipment.
3) Agree to indemnify and hold harmless the Town of Cutler Bay and/or its departments, agents or employees from any and all
liability, claims, suits, losses, damages including attorney’s fees at the trial and appellate court level, paralegal fees and investigative
costs for injury to person or property arising out of my participation in the requested program.
4) Understand and agree to abide by all applicable rules and regulations as set forth herein and attached to this form. I further
understand that I may be asked to vacate the premises and may forfeit my participation fee and/or security deposit if I fail to abide
by these rules and regulations or any other reasonable request from the Town of Cutler Bay staff.
5) I certify that the above information is correct and that I
have read and understand the rules & regulations
governing this activity.
Signature:____________________________________
Date:_______________________________
Please return this completed form along with payment to:
Town of Cutler Bay- Attn: Parks & Recreation
10720 Caribbean Boulevard #225
Cutler Bay, Fl, 33189
Please make checks payable to: Town of Cutler Bay
There will be a Mandatory Chef’s meeting on:
Thursday, January 23, 2020 at 7:00PM at Cutler Ridge Park
Booth Locations will be assigned by the Event Coordinators.
Booth Set up begins at 9:00AM
No electricity will be provided