Party In A Box

*First Name

*Last Name

*Email Address

*Phone Number

*Address Line 1

Address Line 2

*City

*State/Province/Region

*Zip/Postal Code

*Are you part of a Group? :

YesNo

What group are you a part of?:

*What campus do you attend?:

*Proposed date and time of Block Party:

*Proposed location of your Block Party - please be specific:

*Expected attendance:

*Do you live in an HOA or a community where you would need permission to host a Block Party?:

YesNo

*If you do live in a community (like an HOA) that would require permission to host a Block Party, please understand that you are responsible for getting permission before being approved to host a Block Party through Liberty.

Please read and sign the following statement:
I agree to take responsibility of the trailer in assuring that myself or my group will take care of the trailer, the equipment and return it in the same manner the it was received.

*Electronic Signature:

****If weather does not permit for the block party to take place, postponement is an option based on availability of the trailer.

*I understand that Liberty is following Governor Northam's guidelines for social distancing throughout the Block Party season.

Block Party forms are required for approval. You will receive an email after submitting this request with the necessary forms included. If you do not receive this email within 30 minutes, please email mission@libertylive.church

Submit Form

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Party In A Box