KCBS Judges Application Edmonton, AB June 19-21, 2015 Sunday KCBS Sanctioned Competition NOTE: This is a registration form only. It is not a guarantee you will be judging until you receive confirmation by the Judge selection administrators. Name:________________________________________________________________________________________________________________________________________ KCBS Judges Cert#:______________________________________________________________ Certified KCBS Table Capt.? Yes No Mailing Address:____________________________________________________________________________________________________________________________ City:_______________________________________________ Province/State:______________________ Postal Code/Zip Code:_____________________ Home Phone:_____________________________________________________ Cell Phone:____________________________________________________________ Email Address:______________________________________________________________________________________________________________________________ Check the level of experience that represents your level of qualifications: Master Experienced Newly Certified Qualified Dignitary Are you able to judge the Chef’s Challenge on Saturday? Certified Table Captain Yes No List the last 3 BBQ Contests where you have judged: Contest Name City Province/State Date (DD/MM/YY) Submitted by (Your Name – please print):_____________________________________________________________________________________________________ Signature:____________________________________________________________________________________________________________________________________ Date Submitted:____________________________________________________________________________________________________________________________ Confirmation that the information and this form is submitted by the individual named above. Yes No Return completed form to: P orkapalooza BBQ Festival™ 4828-89th Street Edmonton, AB Canada T6E 5K1 Fax: (780) 479-5128 For further information about Porkapalooza BBQ Festival you can reach us by email at: info@porkapalooza.ca