Fillable Form 2020: Town of White Pine Independence Day (Town of White Pine)

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Form 2020: Town of White Pine Independence Day (Town of White Pine)

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Country of origin: US
File type: PDF

U.S.A. forms for Town of White Pine

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The Town of White Pine is an equal opportunity provider and employer
Town of White Pine
Independence Day Parade
Saturday July 4
th
2020
Line Up 9am; Parade 10am
Entry Form- Incomplete Registration Forms Will Not Be Accepted
Contact Name __________________________________________________________________________________
Business or Entrant ______________________________________________________________________________
Address/Zip Code _______________________________________________________________________________
Daytime Phone Number __________________________________________________________________________
Email _________________________________________________________________________________________
TYPE OF ENTRY OR ENTRIES
Do you have vehicles/antique cars? ________________ Please describe & how many _________________________
__________________________________________________________________________________
Notice!!! Limit 10 vehicles per club & and must travel side by side
Do you have a float? ________ Please Describe________________________________________________________
Total length of vehicles (needed for line-up layout) ______________________________________________________
Do you have animals __________ Please describe & how many ___________________________________________
(Horses or similar animals are required to be diapered)
Walking Group ________ (Minimum age for walkers are 9 years old; all others must ride) Estimated Number________
Please note!!! Any entries with children must have 1 adult for every 10 children
Do you have music? _____________________________ Is it a band? ______________________________________
Other _____________________________ Please describe _______________________________________________
HOLD HARMLESS AGREEMENT TOWN OF WHITE PINE 2020 INDEPENDENCE DAY PARADE
This Waiver/Hold Harmless Agreement states that ______________________________, participant,
acknowledges they are responsible for their actions and will not hold the Town of White Pine responsible
for liability from their participation in the aforementioned Town activity. Further the undersigned applicant
shall specifically hold harmless the individual members of the Board of Mayor and Aldermen of the Town of
White Pine, Tennessee and Town of White Pine staff of any any liability arising out of the applicant's
participation in this event. I understand that the Town of White Pine has no coverage for damages created
by my participation (third party) because the Town of White Pine has no insurable interest.
I have read the attached rules and will abide by all regulations stated therein.
________________________________ ________________________
Signature Date
RETURN TO: Town of White Pine, Attn: Parade, P.O. Box 66, White Pine, TN 37890
FAX # 865-674-2053 Attn: Parade Staff
OR EMAIL whitepinefiredept@gmail.com
FOR MORE INFORMATION: Please contact White Pine Town Hall 865-674-2556
Thank you for your participation!
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Form 2020: Town of White Pine Independence Day (Town of White Pine)

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Completed 17 July 2020

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