Block Party Trailer Request

A $200 (refundable) deposit and $50 (non-refundable) fee must accompany this application. You may pay online here, or send a church check payable to Greene County Baptist Association, 834 W. Battlefield Rd, Springfield, MO 65807. The date of the trailer will not be reserved until payment is made/received by our office.

Church Name*

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Church Pastor*

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Pastors Cell Number*

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Event Date*

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Event Leader's Name*

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Event Leader's Cell Number*

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Address Trailer Will Be Used*

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Requested Pick Up Date & Time*

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Date/Time Trailer Will Be Returned (no later than)*

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Person(s) Picking Up And Returning The Trailer's Name*

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Person(s) Picking Up/Returning the Trailer's Cell Number*

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Email To Confirm Reservation*

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Accept Responsibility*

The person filling out this form accepts the responsibility for the use and repacking of the trailer along with the proper pick up and return of the trailer.

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Adequate Insurance To Cover*

By submitting this form, you are agreeing that your church has adequate property and casualty insurance to cover any bodily injury or property damage which might occur to operators or participants of games or machines. The church understands that once it takes the trailer and equipment from Greene County Baptist Association’s property it assumes all risks.

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Read the Guidelines*

I have read through and understand the Guidelines for Use of Block Party Trailer.

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Name & Phone Number Of Person Filling Out This Form*

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