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2012 BOURNE FOURTH OF JULY PARADE PARADE: WEDNESDAY, JULY 4, 2012 10AM RETURN FORM BY JUNE 1, 2012 BOURNE JULY PARADE, Name of group, organization, business etc.: __________________________________________________________________ Primary Contact Name: _________________________________________________________________________________ Mailing Address: ______________________________________________________________________________________ ____________________________________________________________________________________________________ E-mail Address: _______________________________________________________________________________________ Day Phone: _____________________ Evening Phone: ______________________ Cell: ______________________________ Select Your Type of Parade Entry: Adult Walking Unit (non-float) __________ Children’s Walking Unit (non-float) ____________ Other ___________ Truck with Flatbed FLOAT _________ Pickup Truck FLOAT ____________ Car FLOAT __________ A minimum donation of $50 will be required from any profitable business wishing to enter a vehicle in the parade strictly for advertising purposes, unless the vehicle is decorated appropriately and represents the spirit of the parade. The committee reserves the right to waive the fee on a case-by-case basis. Please provide donation with the application made payable to Bourne Firefighters Parade Fund. If you are entering a float please provide us with total-overall length
of your float. Please provide estimate of number of people that will be participating with your entry: ___________ Will your walking unit or float feature live/recorded music? YES NO Please attach a certificate of insurance (for floats/vehicles ONLY). Please provide brief description of Parade Unit (including items being distributed along parade route): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________
ACCEPTANCE OF AND AGREEMENT TO RULES OF THE BOURNE FOURTH OF JULY PARADE COMMITTEE I have read this application to the 2012 Bourne Fourth of July Parade and the accompanying information. I hereby agree that if my organization is accepted for participation, we will abide by all rules, regulations and requirements. I understand that failure to do so will result in disqualification from participation in the 2012 Bourne Fourth of July Parade. My group agrees to abide by all rules and directions of the parade committee and the undersigned acknowledges that they will safely participate in any parade activity, including the distribution of candy or other items along the parade route. Throwing items from the parade entries is prohibited. Items can be walked to the curbs for safe distribution. ______________________________________________
_________________ ______________________________________________ Phone: __________________________ Email: ____________________________
WAIVER, INDEMNIFICATION AND RELEASE OF LIABILITY FOR PARTICIPATION IN 2011 Bourne Fourth of July parade The undersigned Applicant has read, understands and agrees to the rules, terms and conditions under which he/she will be allowed to participate in the 2012 Bourne Fourth of July Parade to be held on Wednesday July 4, 2012.. In consideration for being allowed to participate in the parade, the undersigned agrees to forever release, discharge, indemnify and hold harmless the Bourne July Parade Committee, the Professional Firefighters of Bourne and the Town of Bourne for all claims or courses of action which may hereafter exist by reason of any loss, damage to property and/or personal injury and/or death which may be sustained by the undersigned and/or his/her employees and/or volunteers of the undersigned in consequence of being allowed to participate in the 2012 Bourne Fourth of July Parade. __________ (initial) The undersigned further acknowledges that he/she shall inspect his/her group’s floats, vehicles and any and all other types of equipment prior to their usage and ensure that said floats, vehicles and any and all other types of equipment are neat, clean, safe, satisfactory for his/her use and purposes, and in a good state of repair, and that there are no problems with the equipment and/or defects with the materials posing threat of injury of any kind to any volunteers and employees of the undersigned. The undersigned further attests that he/she is at least 18 years of age, and represents and certifies that he/she has been duly authorized to sign this agreement on behalf of his/her organization and that all actions necessary to so authorize the undersigned have been taken. _________________________________ __________________ _________________________________ __________________ ______________________________________________________
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