2. 

   NATIONAL NIGHT OUT REGISTRATION FORM

4. Neighborhood Name*
6. Location of Party (Address)*
8. Start Time*
   Start Time
9. End Time*
   End Time
11. Point of Contact*
13. Cell Phone Number*
15. Email Address*
17. Special Request (SWAT, K9, Motors, JJ, Mustang, etc.)

    Submit your special request to have one of our Motorcycle officers, SWAT, K9, Community Services Mustang, or JJ, our Community Service dog, attend your party.

19. SPECIAL REQUESTS ARE SUBJECT TO AVAILABILITY. SUBMITTING A REQUEST DOES NOT GUARANTEE YOUR PARTY WILL RECEIVE THAT SPECIFIC RESOURCE. 

23. The deadline to register is September 29, 2023. For more information or questions on how to make your party a success, please contact the Community Services Division at 713-475-7025.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field