Herndon Chamber Ox Roast Parage Entry Form

HERNDON CHAMBER OX ROAST
JUNE 12, 2010
HERNDON, KANSAS

PARADE ENTRY FORM

MAIL ENTRY FORM TO:
DAVID & KRYSTAL HUTFLES
P O BOX 115
HERNDON, KANSAS 67739
HERNDON CHAMBER OX ROAST
PARADE ENTRY FORM

ENTRY NUMBER______

NAME:______________________________
ADDRESS:_____________________________
CITY:______________STATE:_______ZIP______
PHONE NUMBER:___________________

CHECK THE TYPE OF ENTRY:

( ) Antique Farm Machinery ( ) Modern Farm Machinery
( ) Antique Automobiles ( ) Business
( ) Church or Civic ( ) Children
( ) Horses/Saddle Club ( ) Just for Fun
( ) School Bands ( ) Pets

SPECIFIC INFORMATIONS:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I AGREE THAT THE HERNDON CHAMBER OF COMMERCE IS IN NO WAY RESPONSIBLE FOR ANY LOSS OR DAMAGE DURING THE HERNDON OX ROAST.

DATE:____________ SIGNED:_____________