Main Street Derby Parade Entry Form

Parent's Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Entry Type*

Wagon with pull along handleThree wheeler (Big wheel)TricycleOn foot with stick or poodle horse
Description of Unit
Please note that children must be accompanied by a parent for all events and along the parade route. The parade route will begin at 1pm (check in at 12:45pm) at the Welcome Center at 208 East Main Street.

The parade will start at the Welcome Center at 208 East Main Street

Go down the Alley behind the Welcome Center towards Walnut

Turn left onto Walnut

Turn Right onto Main.

Do a U-turn at 1st Street and head back down Main Street

Go straight to the where they started at the Welcome Center (bypassing Walnut on the way back)

There can be NO motorized entries.

Only wagons, three wheelers, strollers, tricycles, or walking.

Your registration acknowledges that you agree to release all liablility from the Main Street Program or any of the Main Street businesses or organizations from injury, real or imagined.
Main Street Derby - SATURDAY, MARCH 25th La Grange, KY
Name

First NameLast Name
Should be Empty:

Main Street Derby - SATURDAY, MARCH 25th La Grange, KY