Middletown christmas parade 2018 entry form

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MIDDLETOWN CHRISTMAS PARADE 2018 ENTRY FORM

Charles H. Harbaugh IV, Mayor

Sunday - December 2, 2018 at 2:00 PM

Town of Middletown, VA 7875 Church Street Middletown, VA 22645 Phone (540) 869-2226 / Fax (540) 869-4306

Parade Registration Begins 11AM / Lineup 1PM at Lord Fairfax Community College

* No Parade Entry Fee / $5 Horse Manure Fee

middletownva.christmas@

NAME OF UNIT / ORGANIZATION: CONTACT PERSON: ADDRESS: PHONE: EMAIL:

HORSE ENTRIES ONLY HORSE NAME: COGGINS NUMBER: DATE READ:

$5 MANURE FEE PER HORSE TO MAINTAIN PARADE ROUTE

COGGINS STATE: * For Safety of all Equine Entries - Coggins Information is Required

PLEASE DESCRIBE YOUR ENTRY:

ESTIMATED NUMBER OF PARTICIPANTS: AMOUNT OF FEET NEEDED FOR ENTRY:

DROP-OFFS? YES NO (Length/Height/Width)

FLOAT: SIDE WALKERS:

YES YES

NO NO

BANNER: LIVE ANIMALS:

YES YES

NO NO

JUDGE CATEGORIES (select only one category per entry)

Musical (Marching Band / Live Music) Float (Business / Organization with Float) Tractor (Tractors and Farming Equipment) Auto (Car and Truck) Service (Police / Fire and Rescue / Non Profit) Walking (Groups not in Musical, Floats or Service)

Horse Youth (up to 17 yrs of age) Horse Adult (18 yrs of age or older) Horse Small Group (5 or fewer) Horse Large Group (6 or more) Horse Commercial Non-Judged Entry

* ONLY ONE SANTA AND MRS. CLAUS PERMITTED IN PARADE... TO BE APPOINTED BY THE PARADE COMMITTEE. * PLEASE CHECK-IN OR REGISTER ANY TIME BETWEEN 11AM TO 1PM THE DAY OF THE PARADE. * ALL ENTRIES RESPONSIBLE FOR KEEPING STAGING AREA CLEAN (PLEASE LEAVE IT AS YOU FOUND IT) * EACH ENTRY WILL BE ALLOWED UP TO ONE MINUTE IN FRONT OF THE JUDGES' STAND. * IF YOU WISH TO GIVE OUT CANDY OR OTHER ITEMS, PLEASE WALK ALONG THE ROADSIDE TO HAND OUT. * NO PARADE ENTRY FEE / $5 MANURE FEE PER HORSE WILL BE CHARGED TO MAINTAIN THE PARADE ROUTE ONLY * THE COMMITTEE RESERVES THE RIGHT TO DENY LATE ENTRIES AND/OR THOSE DEEMED INAPPROPRIATE OR UNSAFE * THE PARADE IS A RAIN OR SHINE EVENT (EXTREME WEATHER CANCELLATION WILL BE POSTED TO SOCIAL MEDIA)

WAIVER OF LIABILITY & ASSUMPTION OF RISK:

In consideration of being permitted to participate in the parade, I, for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue the town of Middletown, VA. It's officers, employees, or agents from liability from any and all claims resulting in persona! injury, accidents or illnesses (including death) and property loss arising from, but not limited to, participation in the activity. I further understand that participation in the parade carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Said risks range from minor injuries such as a bruise or scratch or a major injury such as back injury, loss of sight or other catastrophic events such as paralysis. I hereby assert that my participation, and that of my organization, is voluntary and that I knowingly assume all such risks.

SIGNATURE - I hereby confirm that I have read and agree to the terms of entry

DATE

Return Registration Form By Friday, November 23, 2018 To Town Office or Register Before 1PM Day of Parade

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