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2. The event is August 1, 2023. Please submit this form by July 16, 2023.
4. Contact Name
5. Address
7. Telephone (Day)
8. Telephone (Other)
10. Email Address
11. Block Party Location
13. Date of Party
14. Estimated Start Time
15. End Time
17. Are you a neighborhood crime watch group?

    1. Yes
    2. No
18. Are you interested in more information?
20. Number of Adults Expected
21. Number of Children Expected
23. Requests for Special Visits (Police/Fire or Other)
24. Requested Time for Special Visits
26. Are you planning to block off any streets?

    1. Yes
    2. No
27. Which streets are you proposing to block off?
Leave This Blank:


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

    This field is not part of the form submission.

31. Submit

* indicates a required field