Route: From the start at Anglesia St. and High St., the parade heads west on High St. to Huron St., south to Palmerson St., and east to Jubilee Park.

Contact information
Organization name:  ____________________________________
Organization address:  ____________________________________
Contact person:  __________________________
Email:  _____________________ Tel. (home) _____________ Tel. (work) _____________
Contact's postal address:  _____________________
Your entry 
Title or name of entry:  ____________________________________
We encourage parade entries with a historic or heritage theme. What is the theme, if any, of your entry?  ____________________________________
No. of people:  _____________
No. of vehicle(s):  _____________ Length of vehicle(s): _____________
Description of your entry  (e.g. car, truck, tractor & flatbed, wagon, horses, bikes, float, marching band, band or music on a float, musical accompaniment). Please include details, here or on another page, which we can use in our publicity. (You must sign the accompanying Publicity Release.)
Note:  All floats and parade entries must be decorated. There are prizes for the top three entries.
____________________________________
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Who deserves credit for designing your entry?  _____________ For building it? ________________
Does your entry have music?   __No.   __Yes.   __Live.   __Tapes/CDs.

Name of organization: _______________________

The above organization grants the Southampton 150th Anniversary Committee permission to use the name, image, voice and biographical material of its parade entry and each member of its parade entry in connection with the Committee's publicity, advertising, marketing and promotion.

The above organization further authorizes the Committee to film, videotape or record the parade entry and its music in connection with the 150th Anniversary Parade.

Date: _______________________