Walking/March Entry Form

Be considerate of the homes you will be staged in front of while waiting for the parade start.

Clean up any debris before leaving the staging area for the parade.

Please enable JavaScript in your browser to complete this form.

Walking or Marching Entry *

• Organization
• Business
• School
• Political/Public Office
• Other

Name of Entry *

Introduction of your entry for MC to announce *

Contact Information *

First

Last

Address *

Address Line 1

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Waiver Agreement: By checking the box below, I agree to the following: *

• In consideration of the acceptance of this application, all applicants agree to save and hold harmless all officers, employees, agents and volunteers of Davenport Pioneer Days Committee, City of Davenport, Davenport Pioneer Days Parade Committee, Davenport Chamber of Commerce and Davenport Lions Club from any loss, injury or damage to person(s) or property arising out of the participation in any aspect of Davenport Pioneer Days and further agree to defend said personnel from any claims related hereto.

Submit

After the parade, please join us at the Davenport Park, to continue
the celebration of
Pioneer Days