First Name: Last Name: Email Address: Address: City: State: Zip Code: Employee and immediate family are FREE (and includes employee's spouse significant other children and parents). There is a fee for contractors and guests. See below. Employee or Contractor Number of adults over 21 Number of teens under 21 Number of children under 12   Contractor or Guests/Adult(s)$5.00 Guests' Children (4-12 yrs) $2.50 Total costs for Contractor/Guests Make checks payable to ExxonMobil Chemical and mail to: ExxonMobil Chemical 13501 Katy Freeway Houston Texas 77079 Attn: Linda Roberts CORP-EMCC-L3-583   Any food allergies Vegeterian Any special needs   Participating in Chili Cook-Off Name of Chili Cook-Off Team Number of participants on team (4 participants per team) Name of designated Chili Team Rep Email address per team Activities Participation Pony Rides Petting Zoo Super Slide Horseshoe pitchin' Relay races Sack races Water balloon toss Basketball (free throw) Volleyball Softball (bring your glove) Obstacle Course Paddleboats Canoeing Fishing (catch & release bring poles tackle & bait) Putting competitiion Bingo Security code:   * Do not enter anything in this field:

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