Forms • Libertyville • CivicEngage

Block Party Application Form

Leave This Blank:

Sponsor (if applicable)

Name of Event Director*

Address*

Email *

Phone Number*

Date of Event*

Rain Date

Starting Time*

Estimated Ending Time*

Estimated Number of Participants *

Streets to be Closed*

Are Barricades Required?

YES

I certify that all residents on the block have be notified of the street closure.

YES

* indicates required fields.