2. The Edwardsville Police “BLOCK PARTY” (EVENT) application used per City Code Chapter 114-113 for Neighborhood Social Activities Only. *Due 5 business days prior to event*
4. Name of organization or group neighborhood association:
6. Location/Address of sponsoring group or association:
8. Planned location of event:
10. Planned date(s) of event:
11. Planned time frame:
13. Purpose of event (brief explanation):
14. Number of persons attending (estimate):
16. Do you intend to serve alcohol?

    1. Yes
    2. No
17. Do you intend to offer any products/services for sale?

    1. Yes
    2. No
18. What items (if any):
20. Will a food truck(s) be invited to the event?

    1. Yes
    2. No
21. If yes, name of food truck and location during event:
23. Number of residences affected by a street closing:
24. Do any affected residents object?

    1. Yes
    2. No
26. If any affected resident objects, please advise the number and their reasons.
28. Person Making Application:
30. Name
32. Address
34. Phone Number
35. Email Address
37. RESTRICTIONS: A “block party” (event) permit may be recalled by the Department of Police due to any weather conditions, violation of this or other ordinances, or other reasons relative to general public safety. “Block party” organizers must procure approved barricades from the Department of Public Works (692-7535) or another source. Barricade placements will be subject to approval of police authorities. Tables and other objects should be placed so as to provide a fire/EMS lane. *Organizers are encouraged to consider insurance needs relative to “block parties” and special events. *
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field