4th of July Parade Entry Form and Agreement
Form must be completed and fees paid prior to parade placement. This year's theme is "The Freedom of the Outdoors." The parade will be held on July 4, 2017. Entry forms are due by June 26, 2017.
Onsite Contact Name
Onsite Contact Cell Phone Number
Onsite Contact Alternate Cell Phone Number
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Check All That Apply
Float (35 feet height limit)
Dog(s) (all waste from animals must be cleaned up immediately)
Horse(s) (all waste from animals must be cleaned up immediately)
Other animal(s) (all waste from animals must be cleaned up immediately)
If you will have a walking/biking group, how many people are in your group?
If you have multiple animals, please list how many and what type.
Description of Your Parade Float/Group (50 word limit)
This will be read by the parade announcer, so please write it as you would like it read!
Length of Parade Float/Group
Are you a member of the Mammoth Lakes Chamber of Commerce?
Yes (free - benefit of membership)
I would like to join (you give permission for the Chamber of Commerce to contact you via phone/email)
I'm a non-profit organization (free with tax ID number)
If a non-profit organization, please enter your tax ID number.
Preferred Payment Method
Pay by card (you give permission for the Chamber of Commerce to contact you via phone/email)
Mail a check/cash/money orders (to PO Box 3268, Mammoth Lakes, CA 93546)
Bring check/cash/money order by the Chamber office (2520 Main St., Mammoth Lakes, CA 93546)
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. PLEASE INITIAL:
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. PLEASE INITIAL:
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 LIABILITY OF THE MAMMOTH LAKES CHAMBER OF COMMERCE AND THE TOWN OF MAMMOTH LAKES, AND I SIGN THIS AGREEMENT OF MY FREE WILL.
SIGN YOUR FULL NAME HERE:
Do Not Fill This Out