Block Party Evaluation

How did it go? 

As part of your Block Party Grant, please complete this evaluation form and tell us about your block party experience. Also, please email us a photo along with the name of your block party host/organizer.

Please note:
All required fields marked with an asterisk* must be completed before this form can be submitted. If the submission is not sent, please review your submission and complete the missing fields.You will receive a confirmation once you have successfully submitted the form.

Would you host another block party?*

By checking "I consent" you are consenting to the voluntarily collection and use of your personal information in accordance with Section 26(d) of the Freedom of Information and Protection of Privacy Act. The information provided by you will be used solely for the purpose of registering for Block Parties. Your information will not be used for any other purpose. If you have any questions about the collection, storage, correction and or/use of your personal information please contact Karen Basi – City of Coquitlam Cultural Services Manager at 604-927-3599.*
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