Block Party Request Form | Village Of South Holland

Block Party Request Form

Block Party Date*
Block Party Time*

: HH

MM
Block Party Location*
How many people do you expect to attend the Block Party?*
Block Party Contact Person*
First Last
Contact Address*
Street Address Address Line 2
Contact Phone Number*
Alternate Phone Number
Contact E-Mail Address*
Please select which of the following you would like the Village to provide (check all that spply) :
- Road Blocks with Sign
- Police Car for Childrens Viewing
- Fire Vehicles for Viewing
- Picnic Tables (maximum of 3)
These items are subject to availability, are free of charge and are distributed on a first-come, first-served basis.

Village Of South Holland - 16226 Wausau Avenue, South Holland, IL 60473 - (708) 210-2900
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