NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE COLLIER COUNTY BRANCH (#5117) P.O. Box 990727, Naples, Florida 34116 (239) 455-2886 FAX (239) 263-2264 Email: [email protected] www.naacpcolliercounty.com 19th Annual Rev. Dr. Martin Luther King, Jr. Parade 2016 Celebration-Parade Entry Form Theme: JOURNEY FOR JUSTICE Date of Parade: Monday, January 18, 2016 Time: 11:00 a.m. Parade/Cambier Park Celebration at 12:00 p.m. We invite you to enter a unit in the parade, please: 1. Complete the requested information below; 2. Read, sign, and date the waiver; 3. Mail entry form and fee to address below or register and pay online at www.naacpcolliercounty.com YOUR ENTRY MUST BE RECEIVED NO LATER THAN December 11, 2015. ENTRIES RECEIVED AFTER THIS DATE ARE NOT GUARANTEED PLACEMENT INTO THE PARADE. Check the blank that best describes your entry: ☐ Motor ☐ Brownie Troop # ☐ Horses ☐ Girl Scout Troop # ☐ Walking Unit ☐ Cub Scout Pack # ☐ Float ☐ Boy Scout Troop # ☐ Stage Performance Only ☐ Vendor in the Park- Type ☐ Stage Performance/Speaker – Park Participant Entry Fee: Parade Entry (circle price) Park Entry - Organization/Business (Advertisement only) *$30.00/$10.00 ☐Cash ☐Check ☐Credit Card *$30.00/$10.00 ☐Cash ☐Check ☐Credit Card Vendor Entry - (Early Bird Special until 12/11/2015) $75.00 ☐Cash ☐Check ☐Credit Card Vendor Entry (After 12/12/2015) $100.00 ☐Cash ☐Check ☐Credit Card Vendor Entry (Day of celebration spot is not guaranteed) $150.00 ☐Cash ☐Check ☐Credit Card *Non-profit organizations fee for parade and/or park entry is $10.00. Businesses/Organizations fee is $30.00. (Make checks payable to the: NAACP Collier County) Name of the Entry: Address: Unit Sponsored By: Contact Name: City: Telephone Number: State: Zip: Email Address: Please give a brief description of your entry (include number of people/size of entry, number of chairs/tables needed & etc.): Please read all of the rules enclosed and sign waiver attached. Your organization’s entry form is acceptance of these rules. We reserve the right to remove units for failure to comply. Thank you for participating in this community event. Mail entries to the above address or complete entry form on-line at www.naacpcolliercounty.com Event Contact Information: Diann Keeys 239.249.9738 [email protected] Parade Set-up Parade line-up time: 9:00 a.m. Parade line-up at Broad Avenue S & 3rd St S Line-up schedule posted on Broad Avenue Set-up Vendor/Park Set-up Information Vendor/Park set-up time: 8:00 -10:00 a.m. Cambier Park at 8th Street S & 8th Avenue S Electricity available. Vendor provides tables/chairs/tent/signage/equipment. WAIVER AND HOLD HARMLESS AGREEMENT THIS AGREEMENT is entered into by and between Naples, NAACP Branch (#5117), (hereinafter referred to as "Organizer") and Error! AutoText entry not defined.(Hereinafter referred to as "Parade Entry/Participant"). WHEREAS, the Organizer is sponsoring the "Rev. Dr. Martin Luther King Jr., Parade Celebration" event (the "Event") to be held January 18, 2016, in Naples, Florida; and WHEREAS, the Parade Entry/Participant will be participating during the Event; and WHEREAS, the Organizer requires that Parade Entry/Participant hold Organizer harmless from and against any and all liability or claims arising from any damages or injuries to person or property of the Parade Entry/Participant, his employees, agents, guests and invitees. NOW, THEREFORE, the parties agree as follows: 1. The Parade Entry/Participant acknowledges that he is an independent entry and is not an agent or employee of the Organizer and is not in any manner affiliated with the Organizer. 2. The Parade Entry/Participant acknowledges, agrees and understands that Organizer shall in no way or manner be responsible or liable for supervising or monitoring the Parade Entry/Participant or the participation of the Parade Entry/Participant during the Event. 3. The Parade Entry/Participant agrees to indemnify and save Organizer harmless from any and all claims for personal injury or property damage, which arise out of the negligence or tortuous conduct of Parade Entry/Participant, his servants, employees, or agents. 4. The Parade Entry/Participant hereby releases Organizer and agrees to hold Organizer harmless from and against any and all claims, damages, charges, demands, obligations, recoveries, liabilities, loss, deficiencies, rights or action or causes of action, of any kind, character, or description, whether accrued, absolute, contingent, known, unknown, or otherwise (including, without limitation, any and all penalties, interest, attorneys' fees and other costs and expenses relating to any and all actions, suits, proceedings, demands, assessments and judgments), which pertain to, arise out of, result from or relate to Parade Entry/Participant's participation in the Event. DATED this 2016 day of ORGANIZER: NAACP Naples Branch (#5117) (completed by NAACP) By: Title: Chair, Martin Luther King Parade and Celebration PARADE ENTRY/PARTICIPANT: (completed by Parade Entry/Participant) Signature: Title: Please submit to: NAACP Collier County P. O. Box 9920727 Naples, FL 34116 Phone: 239.249.9738 Email: [email protected] Printed:
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