Form Center • Block Party Request Form

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Block Party Request Form

Date of Request:*
Contact Name:*
Email:*
Address:*
Home Phone:*
Work or Cell Phone:*
Date of Block Party:*
Times for Party:*
Roads to be blocked:
Address from:*
Address to:*
Roadblocks needed by:*
Roadblocks can be picked up after:*
Please note the following:
Roadblock horses can only be dropped off at the residence of the person requesting the block party.
Block party request forms must be submitted to the Shaler Township Police Department two weeks prior to the block party date.

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