Form Center

2. Instructions

   Complete this form and upload required supplemental information to reserve the Block Party Trailer at least two weeks in advance of event.

   Neighborhoods MUST be a participating partner in the Great Neighborhoods Program to reserve the trailer. For more information on the Block Party Trailer and the Great Neighborhoods Program, please visit http://www.bentonvillear.com/1048/Great-Neighborhoods-Partnership.

6. Party Host Information

   Please provide name of Neighborhood Association (must be registered with the Great Neighborhoods Partnership) and primary and secondary contact information.

8. Name of Neighborhood Association*
10. First and Last Name (primary contact)*
11. Address (primary contact)*
13. Email (primary contact)*
14. Phone Number (primary contact)*
16. First and Last Name (secondary contact)*
17. Address (secondary contact)*
19. Email (secondary contact)*
20. Phone Number (secondary contact)*
24. Requested Date for Event

    Dates selected must be a Friday, Saturday or Sunday. The Block Party Trailer will be delivered Friday afternoon between 1pm and 4 pm and picked up Monday morning between 8 am and 12 pm. 

26. Preferred Date*
    Preferred Date

    Select the preferred date to reserve the trailer.

27. Secondary Date*
    Secondary Date

    Select a secondary date to reserve the trailer in the event your preferred date is unavailable.

31. Event & Location Information

    Please provide the following details regarding the event and the Block Party Trailer location.

    The Block Party Trailer will be delivered Friday afternoon between 1pm and 4pm. It will be picked up Monday morning between 8am and 12pm. It will not be able to be moved during the reservation period and must remain accessible for delivery and pickup.

    
    

33. Address or location where trailer should be delivered*

    Remember that the location must be a legally available space, easily accessible for delivery and pick-up, and located on hard surface. PLEASE NOTE: The Block Party Trailer cannot be relocated after delivery.

34. Location type*
    -- Select One --Private PropertyPublic Right-of-Way

    If the trailer is to be located on the public right-of-way, it will be placed in the street in front of the address listed.

    If trailer is to be located on private property, please upload a signed property owner consent form in the next column. The trailer will be placed in the driveway of the address listed.

35. Signed property owner consent (if applicable)

    Upload a signed property owner consent form if trailer will be located on private property. The form can be downloaded here: http://www.BentonvilleGreatNeighborhoods.com

37. Alternate address or location*

    Please provide an alternate location in the event your preferred address or location is unsuitable for delivery of the Block Party Trailer. If no alternate location is given and staff is unable to deliver the Block Party Trailer, you will forfeit your reservation.

38. Location type for alternate address or location*
    -- Select One --Private PropertyPublic Right-of-Way
39. Signed property owner consent for alternate location (if applicable)

    Upload a signed property owner consent form if trailer will be located on private property. The form can be downloaded here: http://www.BentonvilleGreatNeighborhoods.com

    
    

41. Map of Trailer Delivery Location*

    Please upload a map showing the primary and alternate delivery locations.

45. Event Flier Information

    If you would like the Neighborhoods Team to create an event flier for distribution in your neighborhood, please provide the following details.

47. Event Name

    Please provide the name of the event you wish to advertise.

48. Event Location

    Please provide the location you wish to advertise.

50. Event Time

    Please provide the time you wish to advertise.

51. Event Details

    Please provide any further information you wish to advertise on your flier (i.e. food, games, theme, etc.) If none, please enter N/A.

53. Event Flier Template
    -- Select One --Flier 1Flier 2Flier 3

    Please choose which template (below) you would like to use as your event flier. Flier 1 and Flier 2 are full color and better suited for web-use only. Flier 3 is better suited for printing.
57. Flier 1
    
58. Flier 2
    
59. Flier 3
    

63. If your reservation is approved, you will receive an email from your Neighborhoods Team with more information. You will be asked to enter into an agreement for the use and care of the trailer.

    Please allow up to two weeks to review.

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field