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2. Block Party Information

4. Please complete this application no later than two weeks before your scheduled block party. Should you have questions regarding the application process please contact the Northbrook Public Works Department at 847-272-4711.

6. Date and Time of Party*
   Date and Time of Party Start Date

   Date and Time of Party Start Time

   —

   Date and Time of Party End Date

   Date and Time of Party End Time
7. Rain Date and Time of Party*
   Rain Date and Time of Party Start Date

   Rain Date and Time of Party Start Time

   —

   Rain Date and Time of Party End Date

   Rain Date and Time of Party End Time
9. Street to be closed (address to address OR intersection to intersection)*

   Describe the street or portion of street you wish to close (address to address). No permanent objects can be in the street at any time during the scheduled event. In the case of emergencies the street must be cleared within two minutes.

11. Police - Party, Meeting, or Gathering Notice*

    Upload the Northbrook Police Department's Notice of Party, Meeting, or Gathering form here. 

13. Fire Engine Request Form

    Upload the Fire Department's Fire Engine request form here.  

    
    

15. Primary Contact Person
17. Name*
18. Address*
19. Phone Number*
21. Alternate Phone Number*
22. Email*
24. Alternate Contact Person
26. Name *
27. Address*
28. Phone Number*
30. Alternate Phone Number*
31. Email*
33. Party Specifics
35. Estimated Number of Attendees*
36. Event Parking Plan

    Describe where event attendees will parking during the event.  

37. Will street cleaning be requested before party?*

    This service is contingent upon staff and equipment availability.

    1. Yes
    2. No
39. Will there be live music?*

    1. Yes
    2. No
40. Type of Music*

    1. Radio
    2. Stero
    3. Live Band
    4. DJ
41. Will there be liquor or alcohol?*

    1. BYOB
    2. KEG
    3. NONE
43. Band Contact Person*
44. Phone Number*
45. Email Address*
46. Band Name *
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field