Application Competition March 31 & April 1 2012

Please open above file, print, and mail with registration fee.

INFORMATION FORMFOR ALL COMPETITORSPARTICIPATING INACF SANCTIONED COMPETITION

Please use blue or black ink pen.

Note: Thank you for completing the information below. This document is necessary to support and verify certification requirements.

Print NAME: _________________________________ ACF Member # _______________

I ( ) am ( ) am not a member of the ACF.

-Mailing Address: _________________________________________________

City:______________________ State:________ Zip: _________________

Home Phone:_____________________ Fax: _______________________E-mail :__________________________

Work Establishment or School Name: ______________________________

Type of Work Establishment: ____ Restaurant _____Hotel ______Club ______ Other ________Student

Fee per category

Professional: $100 X number of categories entering _______ Total Due: _____________

Fee for Mystery Box F 2 Professional:$250 Total Due: _____________

Fee per category Student:$50 X number of categories entering ________ Total Due: _____________

Make check payable to: Cincinnati State, in memo put: MCI ACF student chapterReceipt of fee confirms application,

MUST BE PAYED IN ADVANCE and fees are non-refundable after March 17

Participant(s) Signature: _________________________________________

PLEASE SEND WITH PAYMENT TO:ChairBetsy LaSorella3520 Central ParkwayCincinnati, Ohio 45223-2690 Phone (513)569-1568

Below Completed by Show Chair

Name & Date of Competition: ACF Greater Cincinnati Chapter:

March 31, 2012 is F2, student categories, pastry display items and Cold Platters

April 1, 2012 is all other competitions(subject to change)

Show Chair’s Signature: _________________________________________________________

Please Check the categories you are participating in and if you are participating in A-D put the number:

Professional: Category - o A _____o B _____o C _____o D _____o F 2 o K 1 o K 2 o K 3 o K 4 o K 5 o K 6 o K 7 o K 8 o K 9 o P 1 o P 2

Student: Category – o S A _____o S C _____o S D _____o SK 1 o SK 2 o SK 3 o SK 4 o SK 5 o SK 6 o SK 7 o SK 8 o SK 9 o SP 1

Print form above and mail to:

Show Chair:

Betsy LaSorella CEPC, ACE

3520 Central Parkway

Cincinnati, OH 45223-2690

Fax: (513) 569-1467

or email to:

mary.lasorella@cincinnatistate.edu and put check in the mail. Registration will be confirmed by email.