Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Representative *

First Name

Last Name

Phone *

(###)

###

####

Secondary Representative

If applicable

First Name

Last Name

Secondary Phone

If applicable

(###)

###

####

Donation Category *

Please mark the appropriate donations category and remit accordingly. (Donations are used to offset the cost for the operations and production of the parade. If you are unable to participate, donations are still accepted.)

Corporate/Commercial Org ($500)

Non-profit Organization- Adult Members ($150)

Non-profit Organization- Youth Members ($100)

Military Groups ($100)

Educational Organizations/Schools ($100)

Individuals ($50)

Liability Release *

By checking the box below, you agree to the following terms.

Any and all participants in the MARTIN LUTHER KING, JR. PARADE at all times shall relieve, indemnify, protect and save PARADE COMMITTEE MEMBERS, OFFICERS, AGENTS AND EMPLOYEES harmless from ANY AND ALL claims and demands, actions, civil fines and penalties of ANY nature in regard to or resulting from the MARTIN LUTHER KING, JR. PARADE, including, but not limited to, expenses incurred in legal actions, death, injury or damage that may be caused directly or indirectly by: [1.] any operation conducted by the MARTIN LUTHER KING, JR. PARADE COMMITTEE, and [2.] any failure by the MARTIN LUTHER KING, JR. PARADE to comply or secure compliance with any terms or conditions set by the CITY OF SAN DIEGO, any unsafe or defective conditions in or on CITY OF SAN DIEGO property while being used by the MARTIN LUTHER KING, JR./BOARD OFFICERS, AGENTS AND EMPLOYEES.