Restaurant Submission Form

NOVEMBER 1-30, 2025

Please fill out all the necessary information for us to get you set up. 😊

Restaurant Name:

Website:

Restaurant Address(es) - Please include all participating locations:

If you haven't already, please provide your high resolution colour or black and white logo (Max 10 MB - JPG, PNG, PDF. AI, PSD):

What is the name of your Ultimate Burger?

Please describe your Ultimate Burger and its ingredients.

How about sides, add-ons or combos?

What is the price for your Ultimate Burger?

If people have dietary restrictions or preferences, will you substitute with a vegetarian option?

Yes No

Please detail your vegetarian or vegan substitutes so your diners can know. Additionally, if you have any substitutes for any allergies or intolerances (Eg. gluten-free, lactose intolerance, etc).

Attach a photo of your burger:

List your social media accounts so we can follow and tag you:

Platinum Sponsors, please choose two preferred dates for our interview visit:

It would help our cause if your restaurant could add an option for diners to donate $2 to the United Way after they finish their meal. Would you be willing to include this option?

Yes No

Is there anything else you would like us to know?

NOVEMBER 1-30, 2025

Restaurant Submission Form

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