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Block Party Application
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Name
Email Address
Address
City
State
Zip Code
Phone Number
Event Date(s) & Time
Event Date(s) & Time Start Date
Event Date(s) & Time Start Time
—
Event Date(s) & Time End Date
Event Date(s) & Time End Time
Block parties must end (including cleanup and teardown) by 11 p.m.
Name of the street on which the party will occur
Additional Location Information (closest cross streets, cul-de-sac, etc.)
Would you like to reserve barricades?
Yes
No
Agreement
By clicking “submit” the block party applicant waives and holds harmless the City of Portage, its officers, agents or representatives and employees, from and against any and all liability, actions, causes of actions, claims known and unknown now or in the future that may arise out of the hosting of a block party.
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