Become Parade Participant Become a participant by completing all of the information below and click "Submit". Your InformationAre You a Sponsor?*YesNoAre you a veteran or currently in the military?*YesNoCompany NameLeave blank if not a company.Contact Person* First Last Address:* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone:*Email:* Parade InformationName of Entry:*Entry Description:*Please write a short (500 characters) script of your entry for the parade announcer. Be sure to note the name of your group, special highlights and number of people, horses, motorcycles or vehicles in group.What is your entry?*FloatVehicleWalking GroupType of Vehicle*CarTruckMotorcycleRVBoatDump Truck, Semi Truck or similarOtherHow many vehicles?*Please enter a number from 1 to 40.Do any Vehicles have a Diesel Engine?*YesNoDescription of Vehicles:*Please describe all vehicles in your entry. For exanmple: car, truck or van, how many of each type of vehicle and length of trailer.How many people in walking group?*Please enter a number from 1 to 500.Please describe the walking group.*# of adults in Entry:*# of children in Entry:* (14 years and younger)Are there animals in Entry?*YesNoNumber of Animals*Please enter a number from 0 to 250.What type of animals?*HorsesCamalsDogsOtherIf "Other" please describe:*Length of Entry*0 - 20 Feet20 - 40 Feet40+ FeetFeesENTRY FEE $35*Daisy Mountain Veterans reserves the right to limit both the number of vehicles/units per entry and the number of entries in the parade. All Military, Veteran and Sponsor entries are FREE. I Agree Rules of ParticipationRules of Participation* The Daisy Mountain Veterans Parade welcomes all entries and all MUST have a red, white and blue “Patriotic” theme celebrating veterans from our armed forces. The Daisy Mountain Veterans reserves the right to assess each entry based on the above criteria and deny participation if in violation. Entries must maintain continuous forward motion at all time. All participants under the age of eight (8) must be in or on a motorized vehicle. Description of entry must be completed in space above for acceptance. I Agree Release of ClaimsRelease of Claims*I am submitting this form on my own behalf or on behalf of the named organization, in which case I represent that I have authority to complete this entry form on its behalf. I assume all risks associated with participating in this event. These risks include, but are not limited to, injuries caused by animals, terrain, weather, lack of hydration, and actions of participants, volunteers, spectators, or producers of this event. I assume the risks of participating in the Daisy Mountain Veterans Parade. I take action for myself, my executors, administrators, heirs and next of kin, successors and assigns as follows: (a) I release and discharge the following organizations from any and all liability, claims, causes of action and demands, including personal injury claims, arising out of my participation in this event or my traveling to or from this event: Daisy Mountain Veterans; American Legion; American Legion Daisy Mountain Post 128; Veterans of Foreign Wars; Veterans of Foreign Wars Post 12031; American Legion Auxiliary - Unit 128, Anthem Community Council, Inc.; and all members, employees, and volunteers of these organizations or this event; and (b) I shall indemnify and hold harmless the persons or entities mentioned in this paragraph from any other activities connected with it in which I may participate. I also give full permission for use of my name and photograph in connection with this event. I Agree Your acknowledgement is consented when you select the check boxes and click "Submit".PaymentsTotal (Hidden field)First ChoiceTotal $0.00 Paying with a Check:*Make checks payable to the Daisy Mountain Veterans, reference your Entry Name on the check's memo line and mail them to: Daisy Mountain Veterans 3655 W. Anthem Way Ste A-109 334 Anthem AZ, 85086 Thank you for your support.Credit/Debit CardCheckVeteran (Fee Waived)Date* Date Format: MM slash DD slash YYYY Entry Fee:* Price: $35.00 Credit Card American ExpressDiscoverMasterCardVisa NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.