Team ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.You can also download a PDF version of this application. Applications can be mailed to: Rotary Club of Highlands County, P.O. Box 4264, Sebring, Florida 33871. Contestant Name *Mailing Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Team Contact Coupon Contact Phone *Alternate PhoneEmail Address *Team NameSponsor(s)List any sponsors of your teamDisclaimer *I AgreeI certify that the foregoing is correct, to the best of my knowledge. I certify and acknowledge that I have received, read and understand the Rules and Regulations, and, if my application is accepted, I agree to abide by said rules and regulations. Further, I have made my staff and/or volunteers aware of the Rules and Regulations and, as a participant, agree that I, and my staff and/or volunteers, will apply by the Rules and Regulations. Checks should be made payable to the Rotary Club of Highlands County, Inc.Signature (Type/Print) * Clear Signature Chili Cook Off Team EntryPrice: $125.00Online Convenience Fee *Price: $5.00Coupon Apply EARLY BIRD ENTRY FEE: $75.00 through December 31, 2026. Beginning January 1, 2027, the entry fee will increase to $125.00 per team. Use coupon code: EARLYBIRDTEAMTotal Order Summary Item Quantity Qty Total There are no products selected. Chili Cook Off Team Entry1$125.00Online Convenience Fee1$5.00SubtotalTotal$130.00 $0.00Payment Information *CardName on CardSubmit
