Request edit access

Entries must be decorated with enough light to be driven safely and to be seen by spectators. Cars and SUVs must use inverters or other battery operated style lighting. Vehicles using generators must have a minimum 5lb ABC Fire Extinguisher on board the vehicle and readily accessible. We do have a small amount of extinguishers for use during the parade. They will be issued on a first come first served basis. Line up will begin at 4:30 pm on Beach Blvd In Elephant Butte. Line up will be as you arrive. Please be respectful of property owners and business owners in the neighborhood. The Parade will end at the Elephant Butte Event Grounds with a community Christmas Party including live music, free food and lots of fun. Please fill out all information completely and read and sign release form.

Name (If you are registering for an organization please put name of ORG. and Contact Person's name) *
Your answer
Mailing address *
Your answer
Phone Number *
Your answer
Please briefly describe your entry *
Your answer
Are you going to use a gas powered generator for your lighting *
By clicking yes, you acknowledge that a Fire Extinguisher is required for entry into the parade.
If Yes to above, do you have a fire extinguisher *
Liability Release. The undersigned hereby assumes full responsibility for all risk of injury or loss which may result from mine and my crew’s participation in the Desert Lights Parade and hereby agree to hold harmless; release and forever discharge The Elephant Butte Chamber of Commerce, The City of Elephant Butte, any sponsors and any and all volunteers associated with the event from any and all claims and demands whatsoever. During this event, I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio, video, or other media without payment or any other consideration. I understand that our images may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein our likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of our image or recording. I also understand that this material may be used in diverse promotional and/or educational settings within an unrestricted geographic area. By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. By signing my legal name below, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for promotional and/or educational purposes. I will also be responsible for my vehicle and all the guests on my vehicle. *
Type your name and today's date. *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Lago Rico. Report Abuse - Terms of Service - Additional Terms