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Parade Registration Form 2022
Program: Hepburn Fair Days Parade 2023
Coordinator: Tamara Kaminski & Community Volunteers
Date: June 2022
Staging: 9:15am sharp at Hepburn Arena Parking Lot, NE corner, 600-2nd Street East
Location: Hepburn Parade Route - 2 times through
Deadline: Monday, June 19??
Prizes: Prizes will be awarded. See prize list and judging criteria on the website.
Contact: Tamara Kaminski
Email: hepburnparade@gmail.com
Phone: 306-947-0025
Web Link:
https://www.hepburn.ca/recreation/festivals_events.html
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Email
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Your email
Participant Name
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Your answer
Community Group Name - list name of group, or write "none"
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Your answer
Current Age / Current Grade
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Your answer
Parent / Guardian Name
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Your answer
Phone Number
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Your answer
Entry Type: Describe your entry. Is it a Car, Truck, Tractor, Farm Machinery, Animal, Bicycle, Scooter, &/or Other Info. Include Year, Make, Model, & Description of Entry.
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Your answer
Media Release Section - I/we request consent in allowing the publishing photographs involving this entry. Please select choice below.
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Yes, I allow the reproduction and publication of my entry's photograph, OR
No, I do not allow.
Media Release Section - I/We request consent in allowing the publishing of this entry's name. Please select choices below.
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Yes, I allow the publication of my name & group name, or
No, I do not allow.
Parent Waiver Section - I acknowledge that my child/children are participating voluntarily in the events and activities outlined above. In consideration of that participation, the child and parent/guardian agrees to waive all claims and release from liability and not to sue members of the Hepburn Parks and Recreation Board or Program Leaders, for any injury, death, or property damage or other loss or complaint sustained in participation in the event. *Post Parent Initials and Date in space below: *
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Your answer
Participant Waiver Section - I acknowledge that I am participating voluntarily in the events and activities outlined above. In consideration of that participation, the participant and group represented, and float participants, agree to waive all claims and release from liability and not to sue members of the Hepburn Parks and Recreation Board or Program Leaders, for any injury, death, or property damage or other loss or complaint sustained in participation in the event. *Post Participant/Leader Initials and Date in space below: *
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Your answer
Comments or Questions: If you have questions, please note below.
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A copy of your responses will be emailed to the address you provided.
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