Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone *

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Mark all categories that apply to your entry that you wished to be judged on:

Best Community Entry

Best Government Entry

Best Junior Entry

Best Small Commercial Entry

Best Large Commercial Entry

Best Non-Profit Entry

Biggest and Brightest Entry

Most Festive Entry

Release of Liability: By entering the parade, you agree to release Redwood Village Shopping Center, City of Fortuna, Fortuna Chamber of Commerce, and all associations and volunteers from any responsibility for loss, damage, theft, or injury to any person or property resulting from participation in this parade. You further agree to accept any and all decisions by our Parade Judges and to abide by all rules and regulations of the parade. *

I agree