Please complete this form and waiver and return no later than November 3, 2014 to:
Carol Cantu, Parade chair
PO Box 5195
Kinston, NC 28503
Name of Participant (s) _______________________________________________
Mailing Address __________________________________________________
Contact Person ______________________________ Phone _______________
Approximate type/size of float __________________
Number of participants on float _________________
Other vehicle number ________________________
Number of participants in/on vehicle _____________
Other (please describe) ______________________________________________
Please provide a brief statement about your organization.
Waiver and Indemnification
I/we do hereby voluntarily execute this Waiver and Indemnification to Salute! A Tribute to America's Veterans and all affiliated persons and other entities sponsoring, coordinating, organizing and otherwise directing the Salute! Veterans Parade on November 8, 2014..
I/we do understand that as a participant in any way in said parade that I/we assume all risks of property damage or personal injury to myself/ourselves and all of those participating with us in the parade and do hereby agree to indemnify and save harmless the Salute! A Tribute to America's Veterans and all affiliated persons and other entities sponsoring, coordinating, organizing and otherwise directing the Salute! Veterans Parade on November 8, 2014, from and against any and all claims, actions or damages resulting from property damage or personal injury as a result of participation by me/us in said parade.
I/we have read and understand this Waiver and Indemnification or have had the same read to me/us and fully explained as to its legal ramifications. Additionally, I/we understand that the execution of this Waiver and Indemnification is a condition of my/our participation in this event.
This __________ day of ________________ 2014.