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2. Block'n Roll Trailer Rental Application Form

   
   

   Important

   The City will make all efforts to make the trailer available to qualified applicants.  The City does reserve the right to cancel or make necessary changes to the use of the trailer as it sees fit.  Please view the Block'n Roll page for more information, including the required Block Party Permit Form, The Block'n Roll Trailer Waiver Form and the Block'n Roll Trailer Guidelines.

   Please call 972-363-ROLL (7655) with any questions or email planning@coppelltx.gov

   Primary Contact

   (Must be an Adult)

4. First Name*
5. Last Name*
7. Email Address*
9. Address*
11. City*
12. Phone Number*

14. Secondary Contact

    (Must be an Adult)

16. First Name*
17. Last Name*
19. Email Address*
21. Address*
23. City*
24. Phone Number*
26. Event Start Date (Friday) & Event End Date (Monday)*
    Event Start Date (Friday) & Event End Date (Monday) Start Date

    Event Start Date (Friday) & Event End Date (Monday) Start Time

    —

    Event Start Date (Friday) & Event End Date (Monday) End Date

    Event Start Date (Friday) & Event End Date (Monday) End Time
28. Are you part of an HOA?*

    If yes, then select From HOA list below.  if no, then we will need some additional information from you

    1. YES
    2. NO
30. Home Owner's Associations (HOA)
    -- Select One --Alexander CourtArbor ManorsAsbury Estates (joined with Asbury Manors)Asbury ManorAshton RidgeAustin PlaceBellacereBelmont LandingBig CedarBrighton Manor (Falls at Westmont)Carter EstatesCastleburyChannel PointeChateaus of CoppellChaucer EstatesCoppell GreensCopperstoneCottonwood EstatesCreekviewCreekview EstatesDeer Run 1&2 (Villas of)Deforest CourtDevonshireEagle Point at RiverchaseEastlake (Easthaven)Enclaves on the ParkwayEstates of Cambridge ManorEstates of Coppell (The Townhouses of CoppellFairways at RiverchaseForest Cove EstatesFountain ParkGeorgian PlaceGibbs StationGreenbriar at RiverchaseHighland MeadowHollows at Northlake WoodlandsHuntington RidgeLake Park Addition (The Waterford)Lakes of CoppellLakewood EstatesLost CreekMagnolia ParkMain Street Coppell POAMeadowridge CondominiumsMeadows of CoppellNorthlake Woodland PH 10B&10COakbend EstatesOaktree at ChautaquaOld Coppell EstatesOld Coppell TownhomesOld Town (Main Street Coppell POA)Park Meadow IPark Meadow IIPark PlaceParks of CoppellPecan HollowPecan RidgeCoppell Pecan ValleyPeninsulas of CoppellPrestwick CourtR.L. HammondRaintree VillageRed HawkRidgecrest EstatesRiver RidgeRiverchaseRiverchase TownhomesRiverview EstatesRosebriar EstatesRoyal OaksSand Point EstatesShady Dale AcresSt. Andrews EstatesStonemeade EstatesStratford ManorSummit at the SpringsThe ReserveTrinity ShoresVillage at Cottonwood Creek 1&3Village at Cottonwood Creek 4Village at Cottonwood Creek 5Village at Cottonwood Creek 6Villages of Coppell 1, 2, 3A, 3B, 4A, 4BVillas of Lake VistaVistas of CoppellWaterford at LakeparkWaters Edge Phase I & IIWaterside Estates Phase I, II, & IIIWestbury ManorEstates of WesthavenWillow ParkWindance CondominiumsWindsor EstatesWoodlands of CoppellWynnpage Estates
32. Drop-off Location Request

    The trailer drop-off will be scheduled for a Friday drop-off and will be picked up the following Monday.  An adult is required to be present at the drop-off and pick-up times.  Residents will not be permitted to move the trailer once it has been dropped off.  

34. Address for trailer drop-off*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field