* 1. Restaurant Name (this will be used for your booth sign & collateral at the event):

* 2. Please provide restaurant contact information:

* 3. What county is your business located in?

* 4. Have you submitted your health permit information to Placer County? 

* 5. Please provide your health permit number.

* 6. Are you paired with a winery or brewery?

* 7. Winery or Brewery you are paired with:

* 8. Do you want to be formally judged by the committee?