Name of Group:______________________________________________________________

Address:_____________________________________________________________________

City:_____________________________ County:____________________________

State:__________ Zip Code:______________ Phone:_____________________________

Contact Person:______________________________________________________________

E-Mail:______________________________________________________________________

Type of Organization:_________________________________________________________

Number of Individuals Participating:___________________________________________

Interesting Facts About your Organization/Entry:_______________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Distance Traveled to Attend:________________________________________(miles)

If Vehicle Entry – Please list the following:

Year__________________ Make:_____________________ Model:__________________

Special Features:_____________________________________________________________

Emergency Vehicle:

Unit Number____________ Year:____________ Make/Type Vehicle:_____________

Model:___________________ GPM:_______________ Tank Capacity:____________

Aerial Length:____________________ Special Equipment:_______________________

Elkridge Volunteer Fire Dept. 6275 Old Washington Rd, Elkridge, MD 21075 410-313-4901