JUNETEENTH Parade Entry Form

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Entry Type

Description of Unit

parade staging location, Foodland on East Rosedale in s Ayer's Ave 9am parade will start at 11 AM for more information. Contact 817-231-2214

Signature