| OFFICIAL 2007 INDEPENDENCE DAY PARADE APPLICATION INSURANCE LIABILITY NOTICE The Ojai Independence Day Committee insurance DOES NOT COVER PARADE PARTICIPANTS. Participants are expected to carry insurance adequate to cover any liability for damage, injury, economic loss or other liability which may be incurred by individuals and/or organizations during the Independence Day celebration sponsored by the Committee. Contact your insurance agent, your legal advisor, and/or other competent risk management professional for advice if you have any question about the adequacy of your individual or organization’s insurance coverage and liability. WAIVER AND INDEMNITY AGREEMENT In consideration of the approval by the Ojai Independence Day Committee of the undersigned’s application to be an authorized participant (either volunteer or paid) in the public celebrations and festivities to be held July 3rd and 4th, 2005, on or in various public streets, parks, and other property owned and/or controlled by the City of Ojai, and/or the Ojai Unified School District, and/or the County of Ventura, or the State of California, the undersigned does hereby elect to participate in the said activities and the preparations therefore, and recognizes and voluntarily assumes any and all risks attendant to being present as a spectator, entertainer and/or participant in all such activities, including public parades, picnics, the sale and consumption of concession-stand refreshments, and the vehicular and pedestrian traffic and crowds of persons likely to attend such outdoor and/or indoor public entertainment, celebration and recreational activities and recognizing such risks and also recognizing that the said celebration is a civic endeavor organized by unpaid volunteers who donate their time and efforts as a public service to the residents of Ojai; therefore, the undersigned (both individually and on behalf of the members of the group or organization for which this waiver and indemnity is executed) does hereby waive any and all claims or causes of action of every kind or nature that may now or hereafter exist or arise in favor of the undersigned (or any member of the undersigned’s group or organization) against the Ojai Independence Day Committee, its officers, directors, and/or members, that result or in any manner are connected with the undersigned’s participation in (including all time spent in preparation for) the aforesaid celebration and festivities, and the undersigned (including a group or organization, as aforesaid) does hereby agree to hold the said Committee, its officers, directors and/or members harmless, and to indemnify and hold harmless and defend them from and against any and all suits, demands, or claims and all costs, losses, liabilities, settlements (whether voluntary or otherwise) and judgments incurred in connection therewith, including attorney’s fees and court costs, including without limitation all claims, demands and suits for damages or injuries, including death, to any and all persons or property, whether real or asserted and whether arising in equity, at common law, or by statute, or under the law of contracts, torts (including without limitation, negligence and strict liability without regard to fault) or property, of every kind or character, and whether or not due in whole or in part to Committee’s sole or concurrent negligence or other fault, breach of contract or warranty, violation of statute, or strict liability without regard to fault, based upon, in connection with, resulting from or arising out of the undersigned voluntary or paid participation in (including time spent in preparation for) the said civic celebration. SUBMISSION OF APPLICATION BY OFFICIAL ORGANIZATION REPRESENTATIVE I am the official representative of the organization named in Box #1, above. On behalf of the organization I acknowledge our responsibilities as set out in the INSURANCE AND LIABILITY NOTICE. I also accept on behalf of the organization all the terms and conditions of the WAIVER AND INDEMNITY AGREEMENT ____________________________________________________ Dated and Signed this the ________ of ______________________, 2007 SIGNATURE OF OFFICIAL ORGANIZATION REPRESENTATIVE _____________________________________________________ PRINTED OR TYPED SIGNATURE COMPLETE AND RETURN THIS FORM BY JUNE 8, 2007 The Ojai Independence Day Committee, P. O. Box 1176, Ojai, CA 93024 |
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| OFFICIAL ORGANIZATION NAME & ADDRESS (Box #1) NAME………………………………………………………………………………………....................................... STREET/P O. BOX………………………………………………………………................................................. CITY………………………………………………ZIP…………………….+4……………. |
___________________________________________________ NUMBER OF YEARS IN PARADE [ ] 1ST YR [ ] 2-5 YEARS [ ] MORE THAN 5 YRS |
| NAME OF OFFICIAL ORGANIZATION CONTACT NAME……………………………………………………........................................................................................................................................................ .DAYTIME PHONE……………….......…............................EVENING PHONE…....…........…….....................CELL…………………………....................... Street/P.O. Box……………………………………….....….City…………………..………………...... Zip…………………………+4…………….. Email…………………………………………………….........…. |
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| OFFICIAL LIST OF JUDGING CATEGORIES IS INCLUDED WITH THIS APPLICATION 1. SELECT THE NUMBER OF JUDGING CATEGORY THAT BEST FITS YOUR ENTRY, AND MARK THAT CATEGORY NUMBER HERE__________________ 2. ATTACH YOUR CHECK FOR THE APPROPRIATE ENTRY FEE: ENTRY FEES ARE a) $85 for Commercial entry b) $25 for all other entries such as individuals, schools, charities, and not-for-profit organizations c) $25 for dignitary entries (with the exception of those honorary entries participating at the request of the Committee A SEPARATE APPLICATION IS REQUIRED FOR EACH ENTRY |
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