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

* 2. FOOD
The dish you will be preparing is:

* 3. WINE
Winery You Are Paired With:

* 4. Please provide winery contact information.

* 5. WINE
Wine You Will Be Pouring:

* 6. WINE INFORMATION
If You Are Pouring a WINE, Please Let Us Know:

* 7. Do you Want to Be Formally Judged by the Committee?

* 8. Do You Need Electricity? (Only 110V is available)

* 9. How Many Pieces/What Type of Electrical Equipment Will You Be Using?

* 10. Have You Submitted Your Health Permit Information to Amber Burke?

T