Parade Participant Sign-up
Complete form below to signup as a parade participant
Participant Contact Information
Your name or Organization/Business Name
*
Your Address or Organization/Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Point of Contact
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Parade Registration
What are you putting in the parade?
*
A vehicle
A Float
I'm walking myself or with a group
Please acknowledge the following statement: Eureka Springs Pride is a family friendly event. All who would like to participate are welcome. Please understand Eureka Springs Pride will do our very best to ensure safety of everyone during the parade. However will will not be responsible for any accidents or injuries which may occur. We are excited to have you come celebrate pride with us!
I agree
I disagree and do not wish to continue as a parade participant
Representative Signature
Date
-
Month
-
Day
Year
Date
Sign me up!
Sign me up!
Should be Empty: