Kentucky State University | 2019 Kentucky State University Homecoming Parade Entry Form

Are you a*

Name of organization*

Address*

Address Line 1 Address Line 2 City State ZIP Code

Contact person*

Title*

Phone number*

Email*

Are you a:*

How many members of the marching band will be attending?*

Our group will have _ members*

Our group will have _ chaperones (no more than four chaperones)*

Chaperone #1 name*

First Last

Chaperone #1 phone number*

Chaperone #2 name

First Last

Chaperone #2 phone number

Chaperone #3 name

First Last

Chaperone #3 phone number

Chaperone #4 name

First Last

Chaperone #4 phone number

Do you plan to attend the Homecoming football game?*

If yes, please note only four chaperones will be given wristband access to the game.

2019 Kentucky State University Homecoming Parade Entry Form