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 | Neighborhood Watch

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Neighborhood Watch Request

This program teaches citizens how to work together in creating the strongest crime prevention technique...neighbors looking out for each other.

Required fields in RED

Last Name:     First Name:  
City:   Zip Code:    
My block is between:    and 
Home Phone:   ( )
Alternate Phone:   ( )
Your E-Mail:  
How did you hear about
Neighborhood Watch
  We need your involvement (Please check all that apply)
I would like to Become a Neighborhood Watch Member
Serve as a Block Captain
Host a Neighborhood Watch Meeting
Host an Emergency Preparedness Meeting
Receive information on Emergency Response Training (C.E.R.T.)

Please enter the word above in the text box below. (All uppercase)