4Th of July Parade Entry Form and Agreement

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) __ Walking group __ Dog(s) __ Car __ Biking individual __ Horse(s) __ Walking individual __ Biking group __ 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) YES NO

Non-Chamber member: $35 Chamber member: Free 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, the Mammoth Lakes Chamber of Commerce and the Town of Mammoth Lakes, their officers, employees, agents 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: ______