Contestant Application

In order to reserve your space, please complete the application to the right.

You may also download and print the application.

Deposit and fees

Entry Donation – Your entry donation and hard work help Harmony Health Clinic provide medical care to the homeless, uninsured, and veteran populations in Central Arkansas

Professional and Amateur teams – $100.00 entry donation

Pay donation online:

Use the Central Arkansas Ticket link ( and select Professional or Amateur competitor from the drop down ticket options.

Make check or money order payable to:

World Cheese Dip Competition


Send application and donation to:
Harmony Health Clinic
201 East Roosevelt Road
Little Rock, AR 72206


Fill out my online form.