Application for a Block Party Permit

2. Applicant Information

4. Name *
5. Phone Number*
7. Address*
8. Email*

10. Block Party Details

12. Event Date & Time (Start & End)*
    Event Date & Time (Start & End) Start Date

    Event Date & Time (Start & End) Start Time

    —

    Event Date & Time (Start & End) End Date

    Event Date & Time (Start & End) End Time

    Block parties can start no earlier than 10:00 a.m. and end no later than 11:00 p.m.

14. Detailed Description of Event*
16. Location Description*

    (For Example, "Sparks Avenue, between Manning Circle and Wolfs Lane")

17. Barricade Drop-off Address*
18. Barricade Drop-off Contact Info

    (Include Name & Phone Number of responsible party if different from Applicant)

20. Special Considerations
    
    
    

22. Food Truck(s) on Public Property?*

    1. Yes
    2. No
23. Amplified Music?*

    1. Yes
    2. No
24. Event Tent over 200 Sq. Ft. being Erected?*

    1. Yes
    2. No

26. Mandatory Forms: Indemnification, Rules & Petitions

28. Indemnification & Hold Harmless Agreement

    Indemnification & Hold Harmless Agreement download

    Please download, sign, scan and submit with this application a signed indemnification agreement. 

29. Signed Indemnification Agreement*

    Please submit with this application a signed indemnification agreement.

31. Block Party Rules Agreement*

    1. I have read and agree to the Block Party Rules

    Block Party Rules Document

    
    

33. Block Party Petition

    Block Party Petition Template

    As a condition for applying to receive a Block Party permit, the Applicant is required to gather signatures from 50% of the residences within the Block Party area (including all CORNER HOUSES.)

34. Petition Upload*
35. Other Supporting Documentation

    Please feel free to upload any additional supporting documentation including a letter of intent/detailed description of the event.

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field