Fourth of July 2023 Parade Entry

By checking this box I, the adult named on this form, on behalf of myself or child or children, agree to hold Concrete Chamber of Commerce and its agents, employees and officials – while acting within the scope of their duties – harmless from all causes of actions, demands and claims, including the cost of their defense, arising in favor of myself or my child participant third parties on account of personal injuries, death or damage to property arising out of activities at the premises and in any way connected with the activities of myself or my child participant during this Concrete celebration.

I CERTIFY THAT I HAVE PERSONALLY READ AND UNDERSTAND THIS WAIVER AND RELEASE.