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Registration and Release for the 2021 Pie Bake-Off
Labor Day Barn Bash: Country Fair & Concert
Pie Bake-Off 2021
Registration Fee Purchaser's Name & Order Number
*
Enter the Registration Fee Purchaser's Name and the Order Number from your Barn & Bale Receipt.
Name
*
First
Last
Age
*
Please enter a number from
1
to
100
.
Please enter your age. Contestants under 18 years old will require parental or legal guardian permission.
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
*
Enter Email
Confirm Email
Phone
*
Ingredients List
*
Recipe (recipes WILL NOT be copied, sold or distributed)
*
Description of Pie (anything special or unique about pie)
Labor Day Barn Bash: Country Fair & Concert
Pie Bake-Off 2021 Release
By typing my name in the box below, I ensure and agree to the following statements and/or requirements in the following release of rights to participate in the aforementioned event.
By participating, I agree to be bound by these rules and the decisions of the judges which shall be final and binding. My presence at the competition and the presence of my friends, family members and those accompanying me constitutes my and their consent and agreement to the recording and use of my and their activities, appearance, name, voice, and likeness produced by me and/or them for use in connection with any television program, merchandising, promotion and all media in perpetuity known now and hereafter in perpetuity for no compensation. If I, my friends, my family or those traveling with me do not wish to be photographed or do not agree with these terms, I have been requested to not attend the contest or enter the area where the contest is taking place. My attendance will be deemed to be a waiver of my rights in and to claims against these for privacy. Furthermore, by entering the property of the Phelps Farm including but not limited to it’s fields, walking paths, structures both temporary and permanent including The Barn, facilities and enclosed areas, I agree to hold harmless David Phelps Concerts, Inc., Barn & Bale, Barn Bash Events, The Barn @ The Phelps Farm, David and Lori Phelps, their family, associates and volunteers and other participants for any liability related to injury, loss or damages on the property, en route to the property, or as a result of the event or my participation on the property, or for my inability to appear at the event in the contest. I understand that NO WEAPONS, ALCOHOL, OR NON-PRESCRIPTION CONTROLLED SUBSTANCES WILL BE PERMITTED ON THE PROPERTY OR IN ITS FACILITIES.
Release Statement Signature
*
Release Statement Signature (Parent/Legal Guardian)
*
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