FORSYTHE PARK, MONROE, LA $50 Registration per Team (2

All proceeds benefit:
Jambalaya Cook-Off
Help Save Lives and Run Breast Cancer Out of Town!
SEPTEMBER 17TH – FORSYTHE PARK, MONROE, LA
$50 Registration per Team (2-5 team members)
Jambalaya – 5 Gallon minimum
Check In 5:30am Cooking starts by 7:30am Samples ready by 10am
2 Categories – Meat or Seafood – 6lb minimum
Team Name: _________________________________________
Captain: _____________________________________________
Company: ______________________
Are you a Sponsor? ______________
Address: _____________________________________________
_____________________________________________________ Phone: _________________________________
E-mail: _______________________________________________________________________________________
Credit Card #: ____________________________________________
Type: _______________ Exp: ____/____/________ CVV: ________
(address provided above must be where credit card bill is received)
For Official Use
Check:_____ _____
Cash: _____
Tent #: _______
Participants can purchase $5 bands for sampling 10am-2pm. Fan favorite voting. Entertainment TBA.
Please Register on line at www.KomenNorthLouisiana.org or submit this form to our office at: *Physical Address- 3421
Medical Park Dr. Monroe, LA 71203 - Mailing Address- P. O. Box 4333 Monroe, La 71211 *Phone 318-966-8130
Or for more information contact Vonnie Jordan, Cook-Off Chair, [email protected] , cell 318-789-1755
Or Johnnie McKoin, Cook-Off Co-Chair, [email protected], cell 318-381-6748. Thank you and Be Blessed!