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2. Resident's First Name*
3. Last Name*
5. Resident Address*
7. City*
8. State*
9. Zip Code*
11. Contact Email
12. Contact Phone Number*
14. * DATES NOT AVAILABLE
15. Date of Block Party*
    Date of Block Party

    Date must be two weeks or more from today's date.

17. Street to be blocked between what two intersections?*
    Public Works will drop off the barricades to assist in the blocking off of the streets.
19. Party Start Time*
    Party Start Time
20. Party End Time*
    Party End Time
22. Name of 2nd Contact for Day of Party *
23. Cell Number of 2nd Contact*
25. Would you like the Police Department to visit your block party?

    1. Yes, please
    2. No, thank you
27. Would you like the Fire Department to visit your block party?

    1. Yes, please
    2. No, thank you
29. TERMS -

    All block parties end at dusk. Activities at dusk must be moved to private property. One side of the street must remain open during the entire event so that emergency vehicles can pass through should the need arise.

    • No bounce houses/water slides are permitted on the street. 
    • No fire pits are permitted on the street. 

    At dusk, the entire street must be reopened. Block party applications are to be submitted no later than two weeks prior to event and are processed in the order that they are received. This application is not a guarantee that your party will be approved. We limit the number of block parties within the Village to 3 on any one weekend. Public safety is always our first concern.

    1. I have read the above statement and will comply with the terms listed..
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field