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2. Neighborhood Watch Event Information
4. Neighborhood Watch Group Name*
6. Event Date*
   Event Date
7. Event Time*
   Event Time Start Time

   —

   Event Time End Time
8. Estimated Attendance*
10. Event Address*
12. Event City*
13. State*
14. Zip Code*
16. Event Type
    New/unregistered groups may request a Neighborhood Watch Orientation with a member of the Sheriff's Office. During the orientation, a representative of the Sheriff's Office will attend the first 20 to 30 minutes of your Neighborhood Watch meeting to provide you with information about Neighborhood Watch and safety tips. Existing groups hosting a Neighborhood Watch Gathering may request that a member of the Sheriff's Office drop in for 15 to 20 minutes anytime during the event to provide an update on current trends and recommendations.
18. Select Event Type*

    1. Neighborhood Watch Orientation for New Groups
    2. Neighborhood Watch Gathering
20. Event Description
22. Requestor Information
    Please provide your contact information below.
24. First Name*
25. Last Name*
27. Address*
29. City*
30. State*
31. Zip Code*
33. Phone Number*
34. Email Address*
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

* indicates a required field