soda bread contest entry form

Complete all items except the entry number. You can print a blank form and fill it out with a pen or pencil, or use your computer to enter the information first, then print it out ready to be submitted with your loaf. Include a separate form for each loaf that you enter. See the contest rules for deadlines.

name and contact information

category

Select only 1 category: traditional white, traditional brown, or glorified. (Print and complete an entry form for each category that you enter; only 1 entry per category.)

declaration

I certify that I am not a professional baker, that this bread was baked by me alone without professional assistance, and that I have adhered to the ingredient restrictions specified in the rules.

Signed _________________________

entry number

TW_______________ TB_______________ GL_______________

Please leave this section blank.