Erath 4th of July Parade Mail-in Form Parade Route Please enable JavaScript in your browser to complete this form.Information - Page 1 of 3Entry Type *Standard EntryCandidate EntryI understand that the Erath 4th of July Association is in no way responsible or will be held liable for any damages, physical or emotional or otherwise, as a result of the Erath 4th of July Celebration Parade. I understand and agree to enter the event at my own risk and accept full responsibility for any and all damages, emotional or physical or otherwise, that may occur as a result of the Erath 4th of July Celebration Parade. Name *FirstLastPhone *Email *OrganizationTitleAddress *Address Line 1Address Line 2CityState / Province / Region *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextPrinted Name *Signature * Clear Signature PreviousNextStandard Entry FeePrice: $50.00Candidate Entry FeePrice: $100.00 Signature Square Entry CC Service ChargePrice: $4.00Total$0.00Card Processing - Square *CardName on CardPreviousSubmit