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Parade Ambassador for Patriots' Day parade

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Purpose. This is an application form to be a Parade Ambassador for the afternoon Patriots' Day parade on Sunday, April 14, 2013. (Note that for this 300th celebration year only, the parade is on Sunday rather than Monday.)

* Information is required.

Contact Information

First Name:
Last Name:
Email:
Daytime Phone:	() –
Address:
City:
State:
ZIP:

* Cell phone (if different from number given above)

* If you are a student, provide name of school

* Age (minimum age 11 years)

If under 18, provide first and last name of parent

Title for parent named above

Parent email (for applicant under 18)

Parent cell phone (for applicant under 18)

Name of person(s) you want to march with (teams consist of three persons each)

Is this for Community Service hours?

Yes

If so, for what group?

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

Thank you for your interest in being a Patriots' Day Parade Ambassador. Someone will contact you to follow up.

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Internal Use Only, Leave Blank:
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