Block Party Request Form

Thank you for your interest in organizing a block party!

Please note that this form is only for Community Block Parties where the primary purpose of the gathering is for the enjoyment and benefit of the surrounding neighborhood.

For all other road closures, please visit the Engineering and Public Works webpage for Road Closure permit information. For Special Event inquiries, email specialevents@portcoquitlam.ca.

It is your responsibility to ensure adequate insurance coverage, when required, is in place for your block party.

Block Party Organizer

First Name *

Last Name *

Address *

Address

City

Province

Postal Code

Phone Number *

Email Address *

Alternate Phone Number

Block Party Information

Please apply for your Block Party Permit at least two weeks prior to the event.

Date of Party *

Start Time *

End Time *

Possible Backup Date: *

Description of Activities Planned *

Neighbourhood Support

Please provide names and contact information for three neighbours from three different addresses (not included yours) who are in support of your Block Party.

1. Neighbour Name

1. Neighbour Phone

1. Neighbour Email

1. Neighbour Address *

1. Neighbour Address

City

Province

Postal Code

2. Neighbour Name

2. Neighbour Phone

2. Neighbour Email

2. Neighbour Address *

2. Neighbour Address

City

Province

Postal Code

3. Neighbour Name

3. Neighbour Phone

3. Neighbour Email

3. Neighbour Address *

3. Neighbour Address

City

Province

Postal Code

Street Closure

Any Block Party to be held on a public street, including cul-de-sacs, requires a Block Party street closure permit. The City regularly monitors safety, traffic patterns and impacts of closures when considering applications. Collector and arterial routes are not eligible for Block party street closures. Previous block party street closure approval does not guarantee approval. Events held in public parks, on strata lots, or on private property do not require a street closure but may benefit from barricades to ensure the safety of participants.

Will your Block Party require a street closure? *

Yes

No

Will your Block Party require barricades? *

Yes

No

Street Closure Description:

Please indicate the name of the road you would like closed. Also, please indicate where you would like the road closure to begin and end using addresses or cross-roads.

Alternatively, you can upload a map of your proposed street closure below.

Maximum upload size: 209.72MB

Would you like to request that the Fire Department to attend your Block Party? *

Yes

No

Check out a fire truck and learn about home fire safety. Subject to availablity.

Personal information entered on this form is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purposes of processing your input . If you have any questions or concerns about how your information will be used, contact the City’s Records and FOIPPA Administrator at 604.927.5250 or corporateoffice@portcoquitlam.ca.

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