Shriner 2026 Hillbilly Days Parade Entry Form

SHRINER 2026 HILLBILLY DAYS PARADE ENTRY APPLICATION

Form must be completed in its entirety.
Full Name*

First NameLast Name
Shriner Group Name*
Shriner Designations*

Outhouse #Clan #
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*

Area CodePhone Number
E-mail*
example@example.com
Walking or Driving/Riding on a parade float?*

Hillbilly JalopyFloatPick up truckCarWalkingPull behind trailerOther
Please upload a copy of driver's license of individual driving the parade entry*

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Please upload a copy of insurance card for the parade entry*

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By digitally signing I certify that I have read, understand, and will comply with the vehicle rules above*

First NameLast Name
You will recieve an email after your parade application has been approved with the date and time to pick up your parade permit. You will not be allowed to participate in the parade without this permit.
Signature *

Clear
By signing I certify that I have read the entire form and agree to all rules and regulations and understand that my parade entry will be inspected and must follow all rules of the above ordinance to be allowed entry into the parade.*

First NameLast Name
Should be Empty:

SHRINER 2026 HILLBILLY DAYS PARADE ENTRY APPLICATION