About You and/or Your Organization
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Entrant (Name of Unit or Entry; Organization, if applicable - please print clearly!):
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Classification of Entrant (please check ONE of the following):
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Personal Entry, Religious Group, Club or Small Organization ($10 fee required for application; see below for instructions on mailing the fee)
Business, Commercial Enterprise, Foundation or Large Organization ($175 fee required for application; see below for instructions on mailing the fee).
Municipal Entrants (Police, Volunteer Fire Departments, Elected Officials of Harford County municipalities, and official representatives of Harford Governmental Agencies or Departments) (No entry fee required).
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Name of Person filling out this form
Street Address
City
State
Zip Code
Phone Number - Day
Phone Number - Night
E-mail Address
What is the best way to contact you?
No Preference
E-mail
Phone
Regular Mail
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About Your Unit
Please select the category in which you will be placed. This is critically important for judging:
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Band, Drum & Bugle Corps, Majorette Corps
Color Guard
Beauty Queen or Honored Individual
Musical Marching Unit
Non-Musical Marching or Wheeling Unit
Comic or Novelty Act
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Float (see the rules for definition of what is a float)
Mobile Unit(s)
Antique Vehicle (car, truck, fire engine, military vehicles)
Equestrian Unit(s)
Fire Company
Elected Public Official
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Number of vehicles your unit will have IN the parade (e.g., following behind a marching unit) (required):
Number of vehicles your group will use to DROP OFF people in the staging area (required):
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Please describe your unit; this information will be broadcast from the Reviewing Stand and will also help us place you most advantageously in the parade. If you need more space, please mail or fax us your information (see below for address and fax numbers). You may also use this space for comments, questions or special requests. This information is not required, but we'd appreciate it very much! If you need to, please use another sheet or the back of this page.
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Agreement, Waiver and Acknowledgement
- I hereby state that I am authorized to execute this entry form on behalf of the entrant and that the information provided by me and/or the entrant is true and correct.
- I have read and understand the Parade Rules and Regulations and agree to comply with said Rules and Regulations; I have read and understand the waiver of liability set forth in paragraph #3 below.
- Waiver of Liability: Entrant waives any and all demands, suits, actions, or claims of any kind whatsoever it has ever had in the past or will have in the future against the Bel Air Independence Day Committee, Inc., and the Board of Town Commissioners of the Town of Bel Air, and their respective servants, agents or employees for any and all losses, damages, claims, costs or charges of any kind suffered by entrant as a result, either direct or indirect, of participating in the Town of Bel Air 4th of July Parade, to be held on July 4, 2009. Furthermore, entrant shall indemnify and hold harmless Bel Air Independence Day Committee, Inc., and its servants, agents or employees, against any and all claims, suits, actions, costs and demands of any kind made against the Bel Air Independence Day Committee, Inc., as a result of entrant's participation in the Town of Bel Air 4th of July Parade, to be held on July 4, 2009.
- I agree that my application will not be processed until the appropriate fee ($10 or $175) is received by mail. I agree to mail the appropriate fee, via check made out to the Bel Air Independence Day Committee, Inc., to P.O. Box 724, Bel Air, MD 21014, by June 10, 2009, or by any other date as required by the Bel Air Independence Day Committee, Inc.
- I acknowledge that agree that my image(s) and/or the image(s) of the entrant, as well as the sound produced by the entrant, if any, may be photographed, videotaped, and/or recorded during its participation in the Bel Air 4th of July Parade, and I further affirmatively grant permission to the Bel Air Independence Day Committee, Inc., to use those images and/or sounds for purposes of publicity, solicitation of sponsorship, broadcast or cablecast on television or radio, display on the world wide web, or for any other purpose, by the Bel Air Independence Day Committee, Inc., without notice or compensation to me, and I waive any rights to said image(s) or sound(s) on behalf of the entrant.
Signature of Person Filling Out This Form
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Please mail this application with your entry fee to:
The Bel Air Independence Day Committee, Inc.
Attn.: Michael Blum
P.O. Box 724
Bel Air, MD 21014
You may also fax this application to 410-893-2598. However, you must also mail the application fee to the above address. Your application cannot be processed without the application fee. Deadline for applications: JUNE 10, 2009. PLEASE DO NOT SEND CASH. Make your check payable to The Bel Air Independence Day Committee, Inc.
The Bel Air Independence Day Committee, Inc., is recognized by the United States Internal Revenue Service as a 501(c)(3) tax exempt corporation. © 2003-2008, the Bel Air Independence Day Committee, Inc.
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