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Block Party Registration Form

15th Annual Owasso Block Party - Saturday-September 10, 2011

**Deadline to Register August 31, 2011**

Contact Person is a required field.

Contact Information
Contact Person:
Address:
Telephone:
Day:		Night:
Email:
Party Time:
From:		To:
(All Block Parties should end and have barricades removed by 9:00 P.M.)
Party Location
Neighborhood:
(Please be as specific as possible):

Party Theme or Special Features:

Is this the first time your block has held a block party? Yes No
Note: All requests for barricades and visits from Police, Fire, or Public Works Department must be received by the City of Owasso by August 31, 2011. These requests are only applicable for the September 10, 2011 city-wide block party event. It is anticipated that there may be more requests for Police, Fire, and Refuse vehicles than can be filled. We will coordinate your request with the appropriate department and honor as many requests as possible.
Would You Like...
(Check all that apply)
	Barricades? (Will be delivered to contact person's address.)
	A Visit from the Fire Dept?
	A Visit from the Police Dept?
	A Visit from Public Works Dept?
	To submit this form, please enter the characters you see in the image:

Or You May Also Mail or Hand Deliver the Completed Registration Form To:

City of Owasso
Attention: Jerry Fowler
111 N. Main
P.O. Box 180
Owasso, OK 74055

For Information Contact Neighborhood Coordinator Jerry Fowler
at 918-376-1556 or by email neighborhoodcoordinator@cityofowasso.com