Victoria Pride Society - Parade Registration

parade registration

ALL Personal Information fields are required and must be completed.

PERSONAL INFORMATION

FIRST NAME:

LAST NAME:

CONTACT PHONE:

CELL PHONE:
*Can be same as contact phone.

eMail:

ADDRESS:

CITY:

POSTAL CODE:

OTHER INFORMATION

GROUP / COMPANY NAME:

INSURANCE POLICY #:
*All motorized entries are required to carry vehicle liability insurance.

All Parade floats and marching units of 10 people or more must provide at least 1 Marshall per 10 people.

MARSHALL 1:

PHONE NUMBER:

MARSHALL 2:

PHONE NUMBER:

PAYMENT AND RATE INFORMATION:

ENTRY TYPE:
NO. OF ENTRIES IN GROUP:
*See right for schedule of rates.
**For Motorcycles and Walking Groups, select the total number of persons, for all others, select the number of vehicles.

MOTORCYCLE
$15.00 per individual
CAR / VAN / TRUCK
$45.00 per vehicle
FLOATS / FLATBED TRUCK
$75.00 per vehicle
WALKING GROUP
$5.00 - 1 PERSON
$10.00 - 5 PEOPLE
$15.00 - 10 PEOPLE
$20.00 - 20 PEOPLE
$25.00 - 25+ PEOPLE

Amount:
*This value is calculated based on your choices above.
PAYMENT METHOD:

CONFIDENTIALITY AGREEMENT
I authorize the Victoria Pride Society to collect and maintain the above personal / business information.
This information may be used to contact you to confirm your responses.
My name and address will be retained on file.
My information will be used for these purposes only and shall be held in strict confidence.
By clicking the submit button, you agree that you have read and understood the above mentioned agreement.
Clicking submit is considered the same as a physical signature on a paper agreement.