Official Registration and Liability Release Form

Official Registration and Liability Release Form

<p> Martin Luther King, Jr. Parade OFFICIAL REGISTRATION AND LIABILITY RELEASE FORM</p><p>Return this sheet to Alpha Phi Alpha with check or money order payable to: Zeta Sigma Lambda Foundation, Box 50026, San Diego, CA 92105 by December 21. If paying online, please visit http://www.alpha- zsl.org/Payments_ZSL_Foundation.html.</p><p>[Please print or type]</p><p>Name or Organization Telephone </p><p>Address City </p><p>State Zip Code Cell (optional) </p><p>Name of Representative Name of Representative </p><p>ORGANIZATION TYPE</p><p> Band  Educational Units  Non-Profit</p><p> Marching Unit/Drill Teams  Youth  Auto/Van/Truck  Individuals  Float Commercial Clubs (4 cars)  Other  Religious</p><p>PLEASE MARK THE APPROPRIATE DONATION CATEGORY AND REMIT ACCORDINGLY:</p><p>Senior Commercial (50 or more employees): $ 500.00 Donations are used to offset the Commercial: $ 200.00 cost for the announcement and Non-profit (Senior): $ 100.00 production of the parade. If you (Junior): $ 75.00 are unable to participate, Individual: $ 25.00 donations are accepted. If paying online, give invoice number: A non-profit organization - 501(c)3 LIABILITY RELEASE</p><p>Any and all participants in the MARTIN LUTHER KING, JR. PARADE at all times shall relieve, indemnify, protect and save PARADE COMMITTEE MEMBERS, OFFICERS, AGENTS AND EMPLOYEES harmless from ANY AND ALL claims and demands, actions, civil fines and penalties of ANY nature in regard to or resulting from the MARTIN LUTHER KING, JR. PARADE, including, but not limited to, expenses incurred in legal actions, death, injury or damage that may be caused directly or indirectly by: [1.] any operation conducted by the MARTIN LUTHER KING, JR. PARADE COMMITTEE, and [2.] any failure by the MARTIN LUTHER KING, JR. PARADE to comply or secure compliance with any terms or conditions set by the CITY OF SAN DIEGO, any unsafe or defective conditions in or on CITY OF SAN DIEGO property while being used by the MARTIN LUTHER KING, JR./BOARD OFFICERS, AGENTS AND EMPLOYEES.</p><p>I HAVE READ THE ABOVE TERMS AND CONDITIONS AND AGREE. Date </p><p>Signature of Representative Title </p><p>The Martin Luther King, Jr. Parade Committee suggests that each entry protect themselves from potential liability problems by obtaining event insurance coverage. Martin Luther King, Jr. Parade ENTRY DESCRIPTION AND BIOGRAPHY</p><p>Entry Category </p><p>Please describe entry here (attach additional sheets if required). Indicate size, theme, animation, size of sign, etc.</p><p>Biography (Very important – Please print or type) – Must be completed for acceptance.</p><p>Name of Organization Member size (Gender) </p><p>Location – State/City/Community Highlight (winner of...) </p><p>Founded by Place Date </p><p>Purpose </p><p>People in Unit Title </p><p>Name Title </p><p>Name Title </p><p>Name Title </p><p>Name Title </p><p>Sponsor What Sponsored </p><p>(For MLK Parade Committee use) Entry assigned location – DIVISION LINE UP # </p>

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