Block Party Registration Form Required Applicant Information: Contact Name: * Address of the Block Party: * Contact Phone Number: * Contact Email Address: * Block Party Date Requested/Time: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 Start Time Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Rain Out Option Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 Request for First Responder Attendance: RCMP Community Peace Officer (CPO) Fire Services Family and Community Support Services is here to help make your block party a success. Hosting a block party is a great way for neighbours to get together, meet each other and have some fun! If you are new to hosting a Block Party and would like some support please give us a call at 780-980-7109. Some of the things we can do to help; Provide suggestions to make your party a success, Provide you with templates for neighbour invitations, Loan you outdoor games, And more Did you know that building friendships amongst neighbours is not only fun – it can also result in safer, more caring communities. Number of Households Invited: * Additional Notes: Collection and use of personal informationThe personal information on this form is being collected under the authority of section 33 (c) of the Freedom of Information and Protection of Privacy Act (FOIP) and is protected by FOIP. It will be used for the purposes of processing your application for a block party and to conduct surveys to determine the effectiveness of our block party program. If you have any questions about the collection and use of the information, contact the FOIP Coordinator’s Office at 780.980.7177 or at #1 Alexandra Park, Leduc, Alberta T9E 4C4. Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image. Submit