Jefferson County Fair

Baking Contest Entry Form

Name: __________________________________________________________________

Address: ________________________________________________________________ 

Phone Number: ____________________________   Cell Phone: ___________________

Youth only    Age: _______               Grade: ________

{  } Adult (19 +)                     {  } Youth (8-12)        {  } Teens  (13-18)     

Type of entry:  ___________________________________________________________

Please submit your receipt with this entry form.

All entries become property of the Jefferson County Fair.

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Publicity Release Form

 I, the undersigned, hereby consent and authorize the use or reproduction of any and all photographs, slides, films, digital images, sketches and any other audiovisual materials taken of my son/daughter/ward or me during the Jefferson County Fair  Baking Contest for publicity, advertising, promotional printed material or any other use for the benefit of the Jefferson County Fair.

If this release agreement is being signed for a child or ward, I certify that I am the parent/guardian authorized to sign this release.

Name of child or ward: (print name) __________________________________________

Name of parent or guardian: (print name) ______________________________________

_______________________________________________                          __________               

Signature of parent/guardian                                                                                          Date