4th of July Parade Entry Form and Agreement
Form must be completed and fees paid prior to parade placement.
Parade Theme: The Freedom of the Outdoors
Parade Date: July 4, 2017
Entry Form Deadline: June 26, 2017
Return completed forms/fees to: [email protected] or PO Box 3268 Mammoth Lakes, CA 93546
Company/Group Name: _________________________________________________Date:__________________
Onsite Contact Name: ___________________________________ Onsite Contact Cell Phone:________________
Alternative Onsite Cell Phone: ___________________________________________________________________
Mailing Address:
____________________________________________________________________ (number/street)
______________________________________________________________ (city / state / zip code)
Email address: ____________________________________________________________________
Check all that apply:
__ Float (35 ft. height limit)
__ Car
__ Walking individual
__ Walking group
__ Biking individual
__ Biking group
__ Dog(s)
__ Horse(s)
__ Other animal(s)
If you will have a walking/biking group, how many people are in your group? ________
If you will have multiple animals, please list how many and what type:
Approximate length of parade float/group (in feet): ________
Brief description of what your float/group contains:
PARADE ANNOUNCEMENT SCRIPT (50 word limit) – Please write legibly or attach a word document.
This will be read by the parade announcer, so please write it exactly as you’d like it to be read.
FEE/PAYMENT
Are you a member of the Mammoth Lakes Chamber of Commerce? (circle one)
Non-Chamber member: $35
Chamber member: Free
YES
NO
Non-profit organization: Free with tax ID#
Make checks/money orders payable to Mammoth Lakes Chamber of Commerce and mail them to:
Mammoth Lakes Chamber of Commerce
PO Box 3268
Mammoth Lakes, CA 93546
If you’d like to pay by credit card:
Credit card number (Visa/Mastercard): ____________________________________________________
Expiration Date: ____________ CVV code: ___________ Name on card: _________________________
Please initial and sign the following waiver:
In consideration for being permitted by the above organization to participate in the above activity, I hereby waive, release
and discharge any and all claims for damages for personal injury, death or property damage which I may have, or which
may hereafter accrue me, as a result of participation in said activity. This release is intended to discharge, in advance, th e
Mammoth Lakes Chamber of Commerce and the Town of Mammoth Lakes, their officers, employees, a gents and
contractors from any and all liability arising out of or connected in any way with my participation in said activity, even
though that liability may arise out of negligence or carelessness on the part of the Mammoth Lakes Chamber of
Commerce or the Town of Mammoth Lakes. It is understood that this activity involves an element of risk and danger of
accidents, and knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and
assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and hold the Mammoth Lakes Chamber
of Commerce and/or the Town of Mammoth Lakes free and harmless from any loss, liability, damage, cost or expense
which they may incur as a result of my death or any injury or property damage that I may sustain while participating.
INITIALS: _____
In agreeing to this statement I am aware of the inherent dangers that accompany such activities or events. These include
travel to and from special events, special skills required to perform certain activities, unknown or unseen conditions that
could cause injuries. INITIALS: _____
I have carefully read this agreement, waiver and release and fully understand its contents. I am aware that this is a contract
between the Mammoth Lakes Chamber of Commerce and myself and a release of the liability of the Mammoth Lakes
Chamber of Commerce and the town of Mammoth Lakes, and I sign this agreement of my free will.
SIGNATURE: _____________________________________________ DATE: ____________________