Skip to Main Content
Loading
Close
Loading
Government
Community
Business
Services
I Want to
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
City Services Academy
Community Development
Community Event Feedback
District Elections
Housing
Library Forms
Making a Difference
Parking & Traffic
Parks and Recreation
Police Department
Public Works
Reporting a Problem
SMART Speakers
Sustainability Pledge
Website Feedback
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
National Night Out Block Registration Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Contact Name:
Phone Number:
Email Address
Address:
Block (including cross streets):
EXAMPLE: 100 block of W. 24th Avenue between Flores and Hacienda.
Location of Event:
EXAMPLE: Front yard of apartment building at 100 W. 24th Avenue
Hours of Event:
Hours of Event: Start Time
—
Hours of Event: End Time
Type of Event:
Please describe what you have planned for your gathering.
Is your block currently a Neighborhood Watch block?
PLEASE NOTE: Neighborhood Watch blocks will receive priority for visits by Police staff.
YES
NO
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
Contact the City
Media Inquiries
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow