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2. Neighborhood Watch Program

   Sign up to be a block captain for the Frederick Police Department Neighborhood Watch Program. Stay informed about meetings, events, and programs.

4. What neighborhood do you live in?
6. First Name*
7. Last Name
9. Email Address*
10. Phone Number*
12. Are you attending the meeting on June 17, 2021 at Bella Rosa at 5:30 pm?*
14. Are you interested in being a Block Captain?*
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field