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Block Party Application

  1. I understand that the Block Party Program is intended for personal gatherings only.*
  2. I am organizing this block party as personal gathering.*
  3. I understand that as the Block Party organizer it is my responsibility to adhere, and to ensure that the Block Party adheres to, all applicable Provincial Health Orders.*
  4. I understand that the Block Party Program is intended for personal gatherings only and does not allow for events or for event elements including food trucks, merchant vending/sales.*
  5. Is this a new or returning block party?*
  6. Please provide the names and addresses of 2 neighbours who support the block party and consent to being alternate block party contacts.
  7. Will there be outdoor amplified sound? For example, music played through speakers.

    Note: Any amplified outdoor sound must end by 10 pm.

  8. Do you want to have fireworks at your block party?

    If Yes, a Fireworks Permit is required from Coquitlam Fire and Rescue.

  9. Road Closure Request
    A road closure is required for any block party that takes place on a City of Coquitlam road including cul-de-sacs, lanes and widened road areas.
  10. Will your block party require road closures?*
  11. Block Party Grant Request
  12. Will your block party be applying for the $150 Block Party Grant and the additional $150 Community Relief Funding (2021 only.)*
  13. Personal Gatherings *
    • I understand that the Block Party Program is intended for personal gatherings only.
    • I am organizing this block party as personal gathering.
    • I understand that as the Block Party organizer it is my responsibility to adhere to all current Provincial Health Orders as they relate to personal gatherings.
  14. Collection & Use of Personal Information*
    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.
  15. Leave This Blank:

  16. This field is not part of the form submission.