Category _______________________________                              Entry # ___________

                                                                                                            Total Score _______

NAME:_________________________________________________________________

(Please complete the following items, as we would love to invite you back!)

ADDRESS: _____________________________________________________________

PHONE: ______________________________________

CATEGORY (check one):                   ___ Children                            ___ Commercial

                                                            ___ Civic Organization             ___ Vehicle

                                                            ___ Animal                               ___ Theme Entry

ENTRY ITEM: __________________________________________________________

DESCRIPTION:           (The announcers will read this as you move through the parade, so please be thorough in your description):

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Responsibility Affidavit-Please Read

“I will not hold the Red Cloud Area Chamber of Commerce responsible for any accident, injury, or theft which might occur to me or persons in my party while on of off the premises.”

Signature: ___________________________________________  Date ___________________________