Hillbilly Days

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Parade Entry Form

Name of Group

Contact Person

Telephone

Address

City, State, Zip Code

Email Address

Number of Participants

Type of Unit (Float, Marching Band, Walker, etc.)

Other Comments or Special Needs

Please confirm by entering the letters from the image.

There is a $50 Registration Fee for any pafticipants.

When you click the submit button you will be redirected to the City of Pikeville's Online Credit Card payment page.

If you are a Civic Organization, Non-Profit group, or School, Click here.