ROADKILL COOK-OFF REGISTRATION FORM

Team Name___________________________________________________________________

Recipe Name__________________________________________________________________

Type of “RoadKill” Meat _________________________________________________________

Team Captain___________________________________Phone__________________________

Address________________________________City________________State_____Zip________

E-Mail Address_________________________________________________________________

Head Cook____________________________________________________________________

Assistant Cooks________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

The registration fee is $25.00 if paid by September 15th, $35 if paid after September 15th, but

before the day of the event, and $45 if paid the day of the event. Make checks payable to the

Pocahontas County Chamber of Commerce.

Early registration is recommended due to the limited amount of cooking areas available. Previous RoadKill cooks will be given first priority for cooking spaces. Registration is not complete until the registration form, recipe, and recipe release form (page 2) have been turned in to the Chamber of Commerce.

If you have questions, please e-mail requests to info@pccocwv.com or call the Pocahontas

County Convention and Visitors Bureau at (800) 336-7009. Please mail application, recipe and

payment to: Pocahontas County Chamber of Commerce, PO Box 272, Marlinton, WV 24954.

I hereby certify that this “RoadKill Meat” has been properly handled and treated, and is healthy for

consumption by the judges and public. I also have read the rules and regulations and agree to abide by them.

__________________________________

Print Name of Head Cook

 _________________________________

Head Cook’s Signature

ROADKILL RECIPE RELEASE FORM

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