Middletown Christmas Parade Entry Form
Charles H. Harbaugh IV, Mayor
Town of Middletown, VA
7875 Church Street Middletown, VA 22645
(540) 869 - 2226
Email address *
Sunday December 6, 2020 at 2:00 PM
Parade begins at 2 PM / Registration starts at 12:30 PM at Lord Fairfax Community College.
* No Parade Entry Fee
Name of Unit / Organization: *
Contact Person: *
Address: *
Phone Number: *
Email: *
Please describe your entry: *
Estimated number of participants: *
Amount of feet needed for entry (length/height/width): *
Float: *
Banner: *
Side walkers: *
Live animals: *
Categories (select the category which best describes your entry): *
If other, list entry below:
Event Details
*Please check-in or register any time between 12:30 PM to 1:30 PM the day of the parade.
*All entries responsible for keeping staging are clean (please leave it how you found it). *If you wish to give out candy or other items, please walk along the roadside to hand out. *The committee reserves the right to deny late entries and/or those deemed inappropriate or unsafe.
*Please help us keep our parade safe and enjoyable!
*The parade is a rain or shine event (extreme weather cancellation will be posted on social media).
Waiver of Liability & Assumption of Risk:
In consideration of being permitted to participate in the parade, I, for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge and covenant not to sue the Town of Middletown, VA, its officers, employees, or agents from liability from any and all claims resulting in personal injury, accidents or illness (including death) and property loss arising from, but not limited to, participation in the activity. I further understand that participation in the parade carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Said risks range from minor injuries such as a bruise or scratch or major injuries such as a back injury, loss of sight or other catastrophic events such as paralysis. I hereby assert that my participation, and that of my organization, is voluntary and that I knowingly assume all such risks.
I hereby confirm that I have read and agree to the terms of entry.
Please submit the registration form by Friday December 4, 2020.
A copy of your responses will be emailed to the address you provided.
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