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Page 1: Parade Application Pine Ridge SC · PDF fileParade Application Pine Ridge SC Date: ... Town Clerk - Viki Moak, 2757 Fish Hatchery Road, West Columbia, SC 29172 ... (Coggins Test Certificate

2010 Pine Ridge Neighborhood FestivalParade Application

Pine Ridge SC

Date: September 11, 2010 Mail Application to: Attn: Town Clerk - Viki Moak, 2757 Fish Hatchery Road, West Columbia, SC 29172Or fax: (803)955-0605

Location: Pine Ridge SC Line up time: 8:00 AM Parade Start Time: 9:00 AMStaging area: Parking lot of Congaree Baptist Church, 101 Pine Ridge Drive, West Columbia, SC 29172Parade Committee: Susan Busby (606-3156) or Sandy Busby (530-5191)

Name: ______________________________________ Company: _____________________________________Category: ____ Dignitary ____ Special Guest ____ Individual Original --- with theme of ____________________________ ____ Commercial Original --- with theme of ____________________________ ____ Performing Unit ____ Band ____ Horse Unit (Coggins Test Certificate Required) ____ Other (please explain) ___________________________________________ Description of Entry: __________________________________________________________________________________________________________________________________________________________________

Number of Units: _________

Contact information:Name: _____________________________ Company: (if applicable) ___________________________________Mailing address: _____________________________________________________________________________City: _____________________________________ State: ___________ Zip: __________________Phone: Day: ______________________________ Night: ________________________________

The deadline for entries is August 28, 2010Confirmation letters will be mailed September 1, 2010

If you plan on throwing candy from your parade vehicle, please be aware of the liability you are creating for yourself.  Be sure to monitor any movement by bystanders toward your parade vehicle and take the appropriate actions to avoid the possibility of an accident. Entries with multiple units shall be limited to 5 unless otherwise approved by the parade committee. Pine Ridge Neighborhood Festival and the Festival Officials reserve the right to remove any participant not adhering to the Festival Policies and Procedures, deemed noxious of performing activities not in keeping with Festival traditions. The parade route is approximately 1 mile in length. For more details call (803)755-2500 .

Participants Release: In consideration of the acceptance of this entry, I hereby for myself, my heirs, executors, administrators and assigns, release and discharge the sponsors and operator of Pine Ridge Festival and their agents and employees from any and all claims for damages suffered as the result of my participation in or traveling to or from the said event. I specifically release and discharge said operators and sponsors from all injuries or damages arising from or contributes by any physical examination or other evidence of my fitness to participate in such event the same being my sole responsibility. I also give my permission for the free use of my name and picture in any broadcast, telecast of other written account of the event.

Signature: ___________________________________________ Date: _____________