Play Streets application form Home Living in Merri-bek Community services Public health and wellbeing On this page: Details about the location, time and date of your Play Street Street* Suburb* Brunswick Brunswick East Brunswick West Coburg Coburg North Fawkner Glenroy Gowanbrae Hadfield Oak Park Pascoe Vale Pascoe Vale South Other * Write your suburb in the field provided if you chose 'other' from the options above Play Street contacts / organisers The first local resident organising this Play Street is: Full name* Email address* Phone number* Address* The second local resident organising this Play Street is: Full name* Email address* Phone number* Address* We would like to hold our Play Streets on one of the following days and times: Date and time Preference 1* Date and time option 2* Neighbour support When applying for a Play Street, you will need to get support from at least 75% of residents on your street. I acknowledge 75% of my neighbours approve* -- Select an option -- Yes No Street diagram to assist in Council Traffic Management Plan You will need to submit a basic diagram, either hand-drawn or digital, of where you are planning to run your Play Street. Council will then review your plan and, if approved, provide you with a permit for the road closure. Upload your street diagram* () Choose file * Traffic marshalls Nominated Traffic Marshal details Full name of traffic marshal 1* Full name of traffic marshal 2 Full name of traffic marshal 3 Risk and Safety Plan Merri-bek City Council requires a completed Risk and Safety Plan to be submitted to Council prior to your event. Please note: we have provided a draft. The hazards and actions are provided as examples. Your risk discussion should be undertaken by the organisers before the day of the event to identify and plan how to address potential hazards. Upload a copy of your completed Risk and Safety Plan* () Choose file * Submit