72nd Annual 4th of July Parade Entry Form
Parade will be on Wednesday, July 4, 2018
Parade will start at 10am
Application Fee - $35
Commercial Fee - $250
Entry Forms due June 8, 2018
Name of Entry (as will be printed in parade program) *
Your answer
Contact Person *
Your answer
Address (Street, City, State, ZIP required) *
Your answer
Contact Phone Number *
Your answer
Contact Email Address *
Your answer
Sponsored By *
Your answer
Type of Unit (can only select one type) *
If dignitary, will you be providing your own car?
If dignitary, will you be providing your own sign?
Will your unit include music? *
Does your unit wish to hand out objects? *
I.e. candy, etc
Please read the following statement and select the answer below to show that you have understood it. *
I/We understand that NOTHING (candy, favors, coupons, advertisements, business cards, silly string, etc.) can be thrown or squirted along parade route. For everyone's safety, nothing can be thrown from vehicles. Items can only be handed out along the edge of the street. Please help to keep our city clean. The distribution of fliers or other bulk material is highly discouraged as this ends up on the street and in the gutters.
Parade Unit Description *
For accurate line up placement and media information, please fill out the following section. We need a detailed description of your unit. Include any previous awards or recognition that you have received. This information will be used for media releases, on-air cable and radio coverage during the parade, and general information for the La Porte Jaycees 4th of July Parade Program, printed in advance of the Parade. Media description is to pertain to your parade unit only. Organizational descriptions will not be used.
Your answer
Total Length of Unit *
Your answer
Number of Participants *
Your answer
Special Requests *
List any special requests you may have. The La Porte Jaycees will do their best to honor special requests when it is feasible to do so. Please remember that all units cannot be #1.
Your answer
Other 4th of July Commitments (include location and time) *
i.e. Another parade later that day
Your answer
Would you like to be added to our annual 4th of July mailing list? *
Please read the following statement and select the answer below to show that you have understood it. *
I/We understand that ALL units are required to pay the $35 application fee. Commercial/Business entries are required to pay the $250.00 entry fee. Application fees can be mailed to the La Porte Jaycees or submitted online through the Jaycees website. The parade organizers reserve the right to reject any entry at any time and all decisions are final.
Please read the following statement and select the answer below to show that you have understood it. *
I hereby acknowledge and state that I am a duly authorized representative of the group/organization submitting this parade application. I have read and understand the policies enclosed with the parade packet and have discussed the same with all the members of my group/organization that will be participating in the parade. The group/organization agrees to abide by these policies and understands that the unit may be pulled and/or our group/organization’s participation in the future maybe affected if we fail to abide by these policies. Our unit releases, in full, the La Porte Jaycees, the 4th of July Committee, and Parade sponsors from all responsibilities and liabilities regarding accidents and injuries while participating in the 4th of July Parade. We further agree to indemnify, defend, and hold harmless the La Porte Jaycees, the 4th of July Committee, and Parade sponsors from all claims or actions arising from our participation in the parade. We further acknowledge that our unit shall have sufficient liability and property damage insurance in case of accident, injury, or property damage.
Full Name of Person Who Completed Form *
Your answer
Date Form Completed *
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