OCEAN PARK AREA CHAMBER OF COMMERCE

27^th Annual Old Fashioned 4^th of July Parade

E N T R Y   F O R M

Name of Organization: __________________________________________

Contact Name: _________________________________________________

Mailing Address: _______________________________________________

_____________________________________________________________

Telephone Number for Contact: ___________________________________

Short History of Entry: (Feel free to use back side if necessary) __________

_____________________________________________________________

_____________________________________________________________

Circle One:

  Float  Pet Marching Unit Band/Music  Other

Entry Description: ______________________________________________

_____________________________________________________________

I/We, the undersigned, hereby agree to hold the Ocean Park Area Chamber of Commerce harmless for any accident and/or injury resulting from my/our participation in the 26^th Annual 4^th of July Parade.

I/We understand and agree not to distribute anything (i.e. candy, confetti, flyers, etc.) from my/our parade entry, into the street or the crowds. 

__________________________________ ______________________

Signature of Entry Representative  Date Signed

Received by: __________________________________(4^th of July Comm.)