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2. Your Name*
4. Your Email*
5. Phone Number:*
7. Party Address*
8. City*
12. Mailing Address (only if different than Party Address)
14. City
15. State
16. Zip
20. Would you like a N2U yard sign?*

    1. Yes
    2. No
22. Would you like political candidates who are running for office to stop by your event? This question excludes current council members visiting parties as part of their city duties.*

    1. Yes
    2. No
24. Is this your first year hosting a party?*

    1. Yes

    1. No
26. Expected number of houses?
27. Expected number of children?
28. Expected number of adults?
30. Start Time*
31. End Time*
33. If you would like to block off your street, please contact your city hall.
37. Please number in order of importance (1-3). Visits are NOT guaranteed.
39. Fire:

    1. 1
    2. 2
    3. 3
40. Sheriff's Office:

    1. 1
    2. 2
    3. 3
41. City Council:

    1. 1
    2. 2
    3. 3
43. Any additional information you would like us to know?
45. Disclaimer:
    N2U signs are limited, first come, first served. Please understand we attend man block parties in a short period of time. Our goal is to have at least one visitor stop at each registered party, pending emergency calls. media and city staff may be taking videos/photos at your event for various online and printed publications.
47. Data Privacy Information:
    The address provided on this form is considered public data (MS13.37.3). Your name, phone number, and email are considered private data and will not be released.
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field