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Neighborhood Watch Interest Form
If you're interested in participating in a Neighborhood Watch Program, complete the following form.
*
(denotes required field)
First Name:
*
Last Name:
*
E-Mail Address:
*
E-Mail Address again:
*
Please enter your E-mail Address a second time.
Street Address, City, State, Zip
*
I'm interested in being a:
*
Block Captain
District Captain.
I'm interested in coordinating:
*
Block Captain Training
Recruiting Block Captains
Recruiting Neighbors
Block Meetings
Writing articles for NHW
CERT Training.
I'm interested in helping prevent:
*
Graffiti
Auto Crimes
Home Burglary
Personal Assault
Identity Theft
Internet Crime
Drug Dealing.
I'm interested in the following Emergency Preparedness programs:
*
Fire Prevention
Earthquake Prep
Evacuation Prep
Helping neighbors with medical needs
Preparing children.
If you'd like to receive NHW SMS alerts on your cell phone, enter your cell phone number with area code here:
CAPTCHA Code:
*
Connect with us!
Stay Informed!
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Neighborhood Watch
The PQ Neighborhood Watch Program is here! Learn how to get involved on our
Neighborhood Watch page
.
Are you an artist?
Then submit your design for our
Utility Box Art Project today
!
*Featured Community Partners*
Marston Orthodontics
Andrada Dental
Rite Click Learning Point Tutoring
Andy and Andrea Berg
Join your neighbors and local businesses
in making PQ an even better place to live.
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