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Step One

Name of Applicant*
Address*
Name of Organization (If Applicable)
Street Address*
City*
State*
Zip Code*
Email Address*
Home Phone*
Cell Phone
PLEASE NOTE: If you are having a raffle, you will need to submit a raffle license application at least three weeks prior to the event. The application is available on the Village website.
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Date of Block Party*
Date of Block Party Start Date
Date of Block Party Start Time
—
Date of Block Party End Date
Date of Block Party End Time
Would You Like a Village Representative to Attend?*
1. Yes
1. No
Would you like Village police or fire trucks to come to your party?
1. Yes
(Based on Availability)
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Do You Need Barricades for Your Party?*
1. Yes
1. No
Use of Barricades*
For Participant Safety, No Road Closures May Extend Past Dusk. Do You Agree to Reopen the Street and Move All Activities to Private Property at Dusk?
1. Yes
Close Street*
From*
To*
Close Street
From
To
Additional Information
Please Note: Games and equipment are available through the Homewood-Flossmoor Park District's rental program. Call 708-957-0300 for more information.

Questions? Call the Administrative Office at 708-798-2300, or send an email.

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