Cox Communications / Youth Group / Adult Group / /
Currency
USD / /
Organization
Wickenburg Chamber of Commerce / Wickenburg Gold Rush Days Committee / Santa Fe Depot/Chamber Office on Frontier Street / PARTICIPANTS PRINTED NAME PARTICIPANTS SIGNATURE WITNESS AREA CODE/PHONE NUMBER DATE PARENT/GUARDIAN CONSTENT NECESSARY IF UNDERAGE PARENT/GUARDIAN PRINTED NAME PARENT/GUARDIAN SIGNATURE WITNESS DATE AREA CODE/PHONE NUMBER PHYSICIAN PHONE ADDRESS PREFERRED HOSPITAL / _____Small Horse Unit / _____Large Horse Unit / Automobile _____Adult Colorguard _____Historical Entry _____Youth Entry _____Church Entry _____School Band _____Marching Unit _____Royalty Division / ICKENBURG CHAMBER OF COMMERCE / /
67 T H ANNUAL GOLD RUSH DAYS PARADE Parade Theme: “I Love You Arizona!”