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2. Organizer Information
4. Name*
5. Email Address*
7. Address*
9. Primary Phone Number*
11. Event Information
13. Description*

    Grills on street, food trucks, activities - anything extra we should know? 

15. Location*

    Please specify the street and exact blocks (or cross streets) to be closed for the block party.

16. Estimated Attendance*
18. Date & Time*
    Date & Time Start Date

    Date & Time Start Time

    —

    Date & Time End Date

    Date & Time End Time

    INCLUDE ALL SET UP AND BREAK DOWN TIMES.
    
    PUBLIC WORKS WILL DELIVER CONES FOR RESIDENT USE PRIOR TO THE BLOCK PARTY. 

20. I agree to return all cones to the drop off location after the event. *

    1. Yes
    2. No
21. I consent to be the main contact for this Block Party. *

    1. Yes
    2. No
23. I will run my event in accordance with Town guidelines.*

    1. Yes
    2. No
24. Town Code:
    Full Details
26. Signature*
28. Internal Use Only

    Police Department Review: 

    
    Public Works Department Review: 
    
    

    Application Approval Date: 

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field