INDIAN CREEK CUSD #425 HOMECOMING PARADE UNIT ENTRY FORM
Saturday, September 26, 2015 at 10:15 a.m., Waterman, Illinois
CONTACT NAME: ______________________ BUSINESS/ENTRANT: _____________________________
ADDRESS: _______________________________________________________________________________
DAYTIME OR CELL PHONE: _______________________________________________________________
*Each business/entry must provide a copy of general liability insurance and automobile insurance (if using a
vehicle), with said insurance naming Indian Creek CUSD #425 as an additionally insured entity. Copies of this
insurance must be provided with this entry form by Friday, September 19, 2015. Those entries not providing
copies of insurance will not be allowed to participate in the parade.
TYPE OF ENTRY (Check one)
Float ___ Band ___ OTHER ___ PLEASE DESCRIBE ____________________________________
Equestrian ______ (Each equestrian/animal unit MUST provide their own clean-up crew, in the parade
following directly behind the unit.)
SHOW VEHICLE/ TRACTOR/ TRUCK ______ NUMBER OF VEHICLES ______
HOLD HARMLESS AGREEMENT
INDIAN CREEK CUSD #425 HOMECOMING PARADE
This Waiver/Hold Harmless Agreement hereby states that ________________________________ (participant)
acknowledges they are responsible for their actions and will not hold the Indian Creek CUSD #425 responsible
for liability from their participation in the aforementioned parade. Furthermore, the applicant shall specifically
hold harmless any employee or board of education member of the Indian Creek CUSD #425 from any liability,
claim, demand, suit, loss, cost of expense, or any damage that may be asserted, claimed or recovered arising out
of the applicant’s participation in this event. This includes damage to property, personal injury or bodily injury,
including death, sustained by a person that arises out of or is incident to or in any way connected with their
participation in this parade. I have read the rules and information and I will abide by all regulations stated
therein.
Participant Signature: ______________________________
Date: ____________________________
By Friday September 19, 2015, please return to ICHS, 506 S. Shabbona Road, Shabbona, IL
60550, or Fax to (815)-824-2199, in care of Mrs. Sarah Montgomery, Principal. For questions,
please call (815) 824-2197.