Register your Block Party

It’s important to register your party so we can count it as one of the 100 block parties!

Plus, as a thank you for helping us meet our goal, we’ll equip block party hosts with a free T-shirt and some sweet Council Bluffs swag.

Once you register…

Within three business days of registering your party, you’ll receive an email confirmation with your assigned block party number and a link to your custom block party web page.

You’ll also receive instructions to pick up your T-shirt and swag. If you have questions about the registration process, please contact:

Kelsey Johnson
The 712 Initiative
kjohnson@the712initiative.org
712.396.2470

* Required Fields

100 Block Parties
Registration Form
* Required
About you
First Name *
Your answer
Last Name *
Your answer
Organization (if applicable to block party)
Your answer
Email Address *
Your answer
T-Shirt Size *
Phone Number *
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
About your party
Event Date *
MM
/
DD
/
YYYY
Start Time
Time
:
AM
PM
End Time
Time
:
AM
PM
Estimated Number of Attendees *
Your answer
Event Name *
Your answer
Event location *
Your answer
Tell us more about your event!
Your answer
Sharing your block party
Would you like us to feature your event on our website? *
Would you like to invite the public to attend? *
One more question...
How did you hear about 100 Block Parties? *
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