By submitting this form, I certify that I am authorized to register this entry and that all participants will follow parade rules. I accept full responsibility for the safety and conduct of our entry.
Waiver & Release: I, for myself and on behalf of my organization and participants, waive and release the Lake Village Chamber of Commerce, the City of Lake Village, their officers, employees, volunteers, and partners from liability for any injury, loss, or property damage connected to our participation, to the fullest extent permitted by law.
Medical Consent & Insurance: I consent to first aid and emergency treatment. Our entry will maintain adequate supervision and, if applicable, vehicle insurance.
Media Release: I authorize use of photos/video of our entry for event publicity without compensation.