Docstoc

Quartzsite Parade entry form

Document Sample
Quartzsite Parade entry form Powered By Docstoc
					Hi Jolly Daze                                                ENTRY FORM
    �n�
ATV Parade Jan. 5, 2013
                     This Year’s Theme is MINING IN QUARTZSITE!
         Return your completed form no later than WED. January 2, 2013 to Town Hall

Representing:_________________________________________________________________
Contact Name:_____________________________ Category Number:(see below) ___________
Day Time Phone:___________________________ Evening Phone:______________________
Mailing Address:_______________________________________________________________
Length of Your Entry: ___________________________________________________________
Information / Description for Announcer:_____________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

I/we apply for entry in the Hi Jolly Daze and ATV Parade at our own risk and agree that any loss or damage
incurred from any cause to the property and/or person(s) which are entered will be my/our responsibility and
therefore no claim will be made against the Town of Quartzsite, County of La Paz or State of Arizona. I/we further
agree to indemnify and hold harmless the sponsors for any person, all injury or property damage arising from an
accident occasioned by employee or entry of mine. I/we are responsible for insuring parental consent for anyone
under the age of 18. By signing this form I/we acknowledge having received and read the rules.

Signature:_______________________________________ Date:_________________________

Print Name:____________________________________________________________________

CATEGORIES
                                                                   Parade Route: E. Tyson down N. Plymouth,
   100 ATV SINGLE
                                                                            ending at the Town Park
   200 BAND/MUSIC
                                                                       (lineup at 8:30am at Fire Station)
   300 CHILDREN
   400 CHURCHES/ORGANIZATIONS
                                                                     Join us for FUN AT THE PARK following
   500 CLASSIC VEHICLES
                                                                                  the parade with:
   600 COMMERCIAL/BUSINESS
                                                                    Music by Skyhawk, Food, Games, Raffles,
   700 EQUESTRIAN
                                                                                   Awards more!
   800 FAMILY/NEIGHBORHOOD GROUPS
   900 ATV GROUP
   1000 PETS                                      Town of Quartzsite, 465 N. Plymouth Ave., Quartzsite, Arizona
                                                             928-927-4333. www.ci.quartzsite.az.us

				
DOCUMENT INFO
Categories:
Stats:
views:53
posted:12/20/2012
language:
pages:1
Description: Hi Jolly Daze and ATV Parade entry form for 2013