On-Line Registration Form

Your group is (check one):

   Neighborhood Watch      Group Number                     

   Home Owner Association      HOA #

   Neighborhood Association   NA #

   Apartment Community

   Mobile Home Community                

   Other    

Event Organizer's Name (Contact Person for neighborhood event):

Mailing Address      ZIP Code

E-Mail Address 

Name of Apartment/Mobile Home Community:

Contact Phone Number (8:00am to 5:00pm) 

Exact Location of Event:

Closest Major (North/South and East/West) Cross Streets to Event Location:

Time of Event:

            4:00 p.m. to 6:00 p.m.

            5:00 p.m. to 7:00 p.m.

            6:00 p.m. to 8:00 p.m.

           
Event Description (Describe Activities, etc.): 

 Estimated Number of Adults:                   Estimated Number of Children  

    You will receive a confirmation e-mail from the Tempe Police Department.

Tempe Police Department

P.O. Box 5002

Tempe, AZ 85280

Crime Prevention Unit

10 W. Guadalupe

480-858-6330

Fax: 480-858-6339