Type of Organization:
                    
Veteran's Group
						 Military Organization 
						 Marching Band 
						 
					  
                  

                    
Official Organization Name:
                    

                  

  

                    
Contact Name:
                    

                  
                  
                  

                    
Title/Rank:
                    

                  
                  
                       

                    
Address:
                    

                  


                    
City:
                    

                  


                    
State:
                    
New York
						 Alabama 
						 Alaska 
						 Arizona 
						 Arkansas 
						 California 
						 Colorado 
						 Connecticut 
						 Delaware 
						 District of Columbia 
						 Florida 
						 Georgia 
						 Hawaii 
						 Idaho 
						 Illinois 
						 Indiana 
						 Iowa 
						 Kansas 
						 Kentucky 
						 Louisiana 
						 Maine 
						 Maryland 
						 Massachusetts 
						 Michigan 
						 Minnesota 
						 Mississippi 
						 Missouri 
						 Montana 
						 Nebraska 
						 Nevada 
						 New Hampshire 
						 New Jersey 
						 New Mexico 
						 North Carolina 
						 North Dakota 
						 Ohio 
						 Oklahoma 
						 Oregon 
						 Pennsylvania 
						 Rhode Island 
						 South Carolina 
						 South Dakota 
						 Tennessee 
						 Texas 
						 Utah 
						 Vermont 
						 Virginia 
						 Washington 
						 West Virginia 
						 Wisconsin 
						 Wyoming 
					  
                  


                    
Zip Code:
                    

                  
            
                  

                    
Phone:
                    

                  

                  

                  

                    
E-mail:
                    

                  
                  

                    
Web Site:
                    

                  
                  

                    
Number of Participants:
                    

                  

                    
Will your group march in uniform?
                    
Yes
						 No						 
					  
                  


                    
Will your group perform?
                    
Yes
						 No						 
					  
                  



If yes, please explain:


		 



                    
Any disabled participants?
                    
Yes
						 No						 
					  
                  


                    
Number of Vehicles:
                    

                  

                    
Type of Vehicles:
                    

                  


                    
Equestrian?
                    
Yes
						 No						 
					  
                  


                    


Vehicle Description:
 


                    
Make:
                    

                  


                    
Model:
                    

                  

                    
Year:
                    

                  


                    
License Plate #:
                    

                  


                    
Vehicle Registration #:
                    

                  

                    
Vehicle Inspection Sticker #:
                    

                  

                    
Expiration Date:
                    

                  




                    


Vehicle Driver:
 


                    
Name:
                    

                  


                    
Address:
                    

                  

                    
Phone:
                    

                  


                    
Driver’s License #:
                    

                  





Additional Comments/Questions:


		 





If you haven't already, please be sure to review the rules for participation before submitting.



The CNY Veterans Day Parade Committee will review your application and notify you.