Block Party Registration Form

Contact Person is a required field.

Block Party Captains receive a FREE t-shirt. Additional t-shirts can be purchased. - Sumbit order to Neighborhood Coordinator

Contact Information
Contact Person:		T-shirt Size
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 to party location):
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 28, 2013. These requests are only applicable for the September 7, 2013 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 available at meeting of Block Party Captains)
	A Visit from the Fire Department?
	A Visit from the Police Department?
	A Visit from Public Works Department?
	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