Entrants name *

First Name

Last Name

Competition category (you can enter more than one): *

Best-lit house/residence

Best commercial/non-residential property/premises

Best novelty display

Best rural property

Phone

(###)

###

####

I understand and agree that: *

Except for any liability that cannot by law be excluded, Boorowa IGA and Boorowa Business Chamber and their related bodies corporate (including their respective officers, employees and agents) exclude all liability for any personal injury or any loss or damage whether direct, indirect, special or consequential arising in any way out of an entrant’s entry into the competition including due to equipment malfunction.

By checking this box you agree to the conditions of entry

If the competition entrant is under 18 years old please complete parent details below

Parent Name

First Name

Last Name

Under 18 year entrant

By checking this box you agree to the conditions of entry on behalf of under 18 year old entrant.