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2. 
4. Party Organizer's First Name*
5. Party Organizer's Last Name*
7. Address of Party*
8. Zip Code*
10. Best Number to Reach You At*
11. Alternative Phone Number
13. Email*
15. Description of Party Location*
    Example: backyard, cul-de-sac, community pool, etc.
17. Event Start Time*
18. Event End Time*
20. Number of Adults Expected*
21. Number of Children Expected*
23. Party Options

    We are excited to visit neighborhoods and get to know our residents. If you prefer to not be included in neighborhood visits but would still like to host a neighborhood gathering, please select that option below and we'll put together some community materials to share with your neighbors that can be picked up at City Hall instead. Please choose one of the options below for how your neighborhood would like to celebrate. 

    1. My neighborhood would like a visit from City staff, Police, Fire, City Council and/or ISD 191 School Board/School Administration
    2. My neighborhood does not want a visit from the City this year, but would like to pick up community materials to share with my neighbors
25. PLEASE NOTE: Party visitors will bring handouts, trinkets and information to your gathering unless option #2 is selected above.
27. Party Visit Requests

    Indicate your party interests below. There are a limited number of visits available. The groups listed below are often partnered together. Choosing "No" may decrease or eliminate the chance of a visit to your party. Party visits will be randomly chosen. *Note: City staff accompany all groups.

29. Police*

    1. Yes
    2. No
    3. No preference
30. Fire*

    1. Yes
    2. No
    3. No preference
31. Burnsville City Council*

    1. Yes
    2. No
    3. No preference
32. School Board/School Administration*

    1. Yes
    2. No
    3. No preference
34. Special notes about your party.
36. Are you planning to block off any streets?
    -- Select One --YesNo
38. If you plan to block off any streets, which streets are you proposing to block?

    Please be aware that we are unable to block certain streets. You will be contacted if your street is unable to be blocked due to high traffic volume. Barricade tape will be available for your use and can be picked up at the City Hall front desk between July 26 - Aug. 2.

40. Photo/Video Permission
    All parties are considered private.
42. I give permission for local media to attend to take photos and/or video*

    1. Yes
    2. No
43. I give permission for City staff to attend to take photos and/or video.*

    1. Yes
    2. No

    Please note that City staff often travel with other groups to visit parties.
45. Many times City staff are asked by State Elected Officials and local businesses for party addresses so representatives have an opportunity to visit your party. Please check either yes or no to the statements below.
47. I give permission for the City to provide my party address to County or State elected officials.*

    1. Yes
    2. No
48. I give permission for the City to provide my party address to local businesses.*

    1. Yes
    2. No
50. Would you like a re-usable "Night to Unite" yard sign?*

    1. Yes
    2. No
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52. Submit

* indicates a required field