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2. PARADE APPLICANT INFORMATION
4. Name of Participant or Group*
6. Mailing Address*
7. City, State, Zip*
9. Primary Contact Person*
10. Phone1*
11. Phone2
13. E-mail Address:*
14. Have you participated in previous years?

    1. Yes
    2. No
    3. Unsure
16. Will you or anyone in your group stay in a Burlington hotel for your particpation?*

    1. Yes
    2. No
    3. Maybe
17. If yes, how many rooms will be reserved?
21. PARADE ENTRY DESCRIPTION
23. Number of Walkers in Entry*
24. Number of Veterans in Entry (if any)*
26. Number of Animals in Entry*
27. Types of Animals
29. Number of Vehicles in Entry*
30. Will your vehicle entry include a towed vehicle or apparatus?

    1. Yes
    2. No
32. Length x Width x Height of all Vehicles/Apparatus (or N/A)*
34. Describe Vehicle Entry*
36. Describe any anticipated Vehicle displays or decorations
38. Will your Entry include amplified music/sound?*

    1. Yes
    2. No
39. If yes, please describe
41. Please select the category/categories that best describes your Entry*

    1. Veteran or Veteran Organization
    2. Military or Military Organization
    3. Municipal/Govt Agency
    4. School or School District
    5. Animal or Mounted Entry
    6. Float with Static Display
    7. Float with Live or Animated Display
    8. Skagit based Scouting Entry
    9. Skagit based Fraternal/Service Group
    10. Athletic/Sports Group
    11. Antique or Classic Car Entry
    12. Motorcylce or Motorcylce Clube
    13. Other (Describe below)
43. Describe "Other" category
45. Awards/Medals/Special Recognition*
47. Write a brief description that can be used by the Parade Emcee to introduce your Entry. (Please do not leave blank.)*
49. Other Comments or Requests
53. PARTICIPATION AGREEMENT
55. Hold Harmless and Indemnification Agreement

    I, the Applicant or authorized representative of the Applicant, recognize that my Entry submission signifies my understanding of and agreement to the City of Burlington’s Hold Harmless and Indemnification Agreement.  I recognize that my involvement in this activity is at my own risk. I have voluntarily made a choice to participate in this activity and expressly assume and accept the risks inherent in the activity. I accept responsibility to behave prudently and to conduct myself in a safe manner.  I will act in accordance with the rules of this activity and with the laws and ordinances set forth by the City of Burlington.  
    I agree to release, hold harmless and indemnify the City of Burlington and all event sponsors including the employees, elected officials, appointed officers, volunteers, instructors and agents of the aforementioned from and against any and all claims, suits, actions or liabilities for injury or death of any person, or for loss or damage to property, which arises out of participation in this activity except only such injury or damage as shall have been occasioned by the sole negligence of the City of Burlington. This release is binding as to any other person, including family members, heirs and executors. If I am signing on behalf of a minor, I recognize that I may not release any claim the minor may have, however, I accept full responsibility for all medical expenses and claims incurred as result of the minor’s participation in or travels to and from this activity. I also agree to release, hold harmless and indemnify the aforementioned agencies and individuals for any claims brought by the minor. I grant full permission to the City of Burlington to use any photographs taken of myself or my child during participation in the activity for the purpose of program promotion. 

57. Digital "Signature"*

    1. By checking this box, I confirm my understanding of the Hold Harmless and Indemnification Agreement and my commitment to fully comply.
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field