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National Night Out Block Party Form

National Night Out will be held on Tuesday, Oct. 3, 2017. The goal of National Night Out is to heighten awareness of crime prevention, to strengthen neighborhood spirit and police-community partnerships. All residents are encouraged to step outside to mingle with their neighbors and to visit with local law enforcement officers, who will be stopping at neighborhood block parties throughout the evening. Interested in organizing a block party for your neighborhood? Please fill out the below information prior to Sept. 22:

Neighborhood/Homeowners’ Association (if applicable):

Event Location:

Location Address:
Street
City
State
Zip
Event Start & End Times:

Event Contact Person:
First
Last
E-Mail:

Estimated Number of Attendees:

Phone:
Home:
Cell:
Work:
Have you ever hosted a National Night Out block party before?
Questions or Comments:

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