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2. Register Your Neighborhood Watch Group with the Ceres PD
4. Please give us the following information regarding your Neighborhood Watch Group
6. This is a:*

   1. New Registration
   2. Update to an existing Registration
8. Group Coordinator Information:
10. Name
11. Email Address
13. Address
15. Home Phone
16. Work Phone
17. Cell Phone
19. Secondary Contact Information (if Group Coordinator is not available):
21. Name
22. Email Address
24. Address
26. Home Phone
27. Work Phone
28. Cell Phone
30. Aproximate Date your Group was established
31. How many citizens are part of your Group?
33. What streets in Ceres does your Watch cover (be as specific as possible)
35. What are some of your neighborhood concerns? Check all that apply.

    1. Vehicle Vandalism
    2. Residence Vandalism
    3. Residence Break-in
    4. Grafitti
    5. Speeding cars/motor bikes

    1. Parking issues
    2. Congested traffic
    3. Loud music from passing cars
    4. Loud residential music
    5. Loud parties

    1. Homeless encampments
    2. Drug/suspicious activity
    3. Abandoned Vehicles
    4. Squatters
    5. Vacant homes
37. Are their concerns you have that were not mentioned above?
39. How can the Ceres PD help your Neighborhood Watch Group?
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field