watch.jpg (13245 bytes)Neighborhood Watch
Collierville's Night Out Against Crime

Application for Collierville's Night Out Against Crime Party, 2008

Collierville's Night Out Against Crime has been cancelled.  No rain date has been set.  We do encourage everyone to plan their event on a later date.

If you live within the Collierville Town Limits, and you would like to register your party for Collierville's Night Out, please complete the form below and submit.  When your application is processed, you will receive a notification.  If you have any questions, please contact Lt. David Townsend at 901-457-2560 or Lt. Dixon at 457-2562 or e-mail neighborhoodwatch@ci.collierville.tn.us.

Personal Information (Please use the tab button to advance from one field to the next.)

Name:
Address:
Phone:
E-mail:

Name of Group:
Address of Event:
Type of Event:  (What is the theme)
Start and End Time of Event:
Estimate of people attending:

Activities for children: Yes   No

 

Any Comments:
 

 

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