Parade of Lights Boater Registration

Parade of Lights 2012 Saturday, December 8

BOAT OWNER (CAPTAIN)
First Name*
Last Name*
CONTACT INFORMATION
Street*
City*
State*
Zip Code*
Primary Number*
Cell Phone Number
Emergency Contact Phone
EMail Address
YOUR BOAT
Homeport Marina
Boat Name*
Boat Length*
Boat Make and Model*
Boat Theme
Interesting features of your boat decorations for announcements
ON BOARD
Family
Guests
ADDITIONAL INFORMATION
Have you participated Before in Parade of Lights?	Yes No
If so, how many years?
Where did you hear about Parade of Lights?