4th of July Parade Registration Form

Organization*

Contact Person*

Address*

Street Address City State ZIP Code

Email*

Phone*

FAX

PLEASE TELL US HOW MANY:

People walking/marching

Cars

Golf Carts

Pickup Trucks

Pickup Truck w/Trailer

4-Wheeler

4-Wheeler w/Trailer

Cart, buggy, etc.

Fire Engines

Ambulances

Ladder Trucks

Other - Please explain

Special instructions or requests:

Please note that we will do our best to accommodate your request; however, we cannot guarantee that all requests can be filled.

The following information will be announced over the radio and loud speakers as your entry passes. Use this as free advertising!

It is understood that service groups, businesses and organizations have their own insurance. For those without insurance, we ask you to sign the release of liability below:

Consent*

I agree to the liability insurance notice

I agree that I will notify my participants that they alone are responsible for any personal injury and/or property damage resulting from participation in the Lawrence Park Township Fourth of July Parade. I specifically release and discharge in advance Lawrence Park Township and any of its employees and Commissioners from any and all liability.

Name*

First Last

Date*

After submitting this form online, you will receive a confirmation email with parade line-up information, etc. Thank you for joining us on the 4th of July. We look forward to seeing you!