Black History Parade Sign-up Form

First name*

Last name*

Organization or Group Name (If individual leave blank)

Position within Organization or Group

Phone (main)*

Phone (secondary/backup)*

Email*

Address*

Please select one

Group

Individual

How are you participating in the parade? (Check all that apply)*

Walking

Marching

Driving

Dancing

If driving, please list the type of vehicles that will be in your group.

Will you be throwing out any items in the parade?*

Yes

No

If yes, please list what items you will throw out in the parade.

How many people will be in your group?*

Does your group include any animals?*

Yes, we will have animals

No, we won't have any animals

If yes, please list the animals that will be in your group.

Questions? Please list any questions or comments you may have here.