Test Calendar Block Party Trailer

Contact Info

Name(Required)

First

Last

Email(Required)

Phone(Required)

Address(Required)

Street Address

Address Line 2

City

State

ZIP Code

Who is throwing a block party?(Required)

Neighborhood
Nonprofit
School
Business

What is the name of your neighborhood or organization?(Required)

Event Address(Required)

Street Address

Address Line 2

City

State

ZIP Code

Event Date(Required)

Event Type(Required)

Private Party
Street Closure
Public Park

Transportation & Setup Information

Transporation & Setup Contact(Required)

First

Last

Email(Required)

Phone(Required)

Photo of Drivers License(Required)

Max. file size: 128 MB.

Photo of Vehicle Insurance Card(Required)

Max. file size: 128 MB.

Trailer Ball Size(Required)

Yes - I understand. We will either have our own 2-5/16 hitch ball or borrow the hitch ball available in the trailer.

By checking the box below I understand a vehicle with a hitch and 2-5/16th inch ball is required to pull the Block Party Trailer.

Has this person read the “Responsibilities & Care” section of our terms & agreements to ensure a safe setup?(Required)

Yes

Pick Up Date(Required)

Select a date to PICK UP the trailer before the event. The trailer can be retrieved at your convenience during or after hours.

Choose a time between 9:00 AM–4:00 PM to PICK UP the trailer before the day of your event.(Required)

:

AM/PM

Office staff will not be available after 4pm if you need any assistance.

Return Date(Required)

Choose a time between 8:00 AM–4:00 PM to DROP OFF the trailer on a Monday right after your event.

:

AM/PM

Trailer Deposit

Please note: this form will redirect you to PayPal. You must complete the deposit before your reservation is complete.

Trailer Deposit(Required)

Normal Trailer Deposit ($50 Refunded)
Keep half the deposit for equipment upkeep ($25 Refunded)
Donate full deposit for trailer upkeep ($0 Refunded)
Business ($150 non-refundable deposit)

Use Agreement

You must be 21+ years of age to reserve & transport the trailer.

YES, I am 21+ years old
NO, I am not 21+ years old

Agreement

By checking this box, I acknowledge that I have read the terms and conditions and that this a binding agreement. I also confirm the information provided is correct.

Responsibility Waiver

YES - I have read & completely understand the Responsibility Waiver

For any illness, injury, property damage, or loss suffered or sustained by me which is in any way associated with my participation in, travel to and from, or other activities associated with the Block Party Trailer, I do hereby, for myself, my heirs, and my administrators and executors, forever waive, release and discharge any and all rights and claims for expenses, damages, or other losses which I may have or which may hereafter accrue, against The 712 Initiative, their sponsors, officers, directors, employees, agents, successors, and assigns.

Hold Harmless Agreement

YES - I have read & completely understand the Hold Harmless Agreement

User agrees to indemnify and hold harmless The 712 Initiative and its employees, volunteers and sponsors from any and all liabilities and causes of action which may arise by virtue of use of the Block Party Trailer.

Total

$0.00

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Contact Info

Transportation & Setup Information

Trailer Deposit

Use Agreement

Donate

Sponsor

Volunteer