Action Center / Neighborhood Watch Registration Form / Florissant, Missouri

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Florissant Police Department Neighborhood Watch Registration Form

Public Information Unit
1700 N. Highway 67
Florissant, MO 63033
314-830-6042

Please fill out. For further information contact P.O. Steve Michael at 314-830-6042 or smichael@florissantmo.com

* Denotes a required field

Date:*

MonthDay Year,

Last Name:*

First Name:*

Address*

Address 2

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Primary Home or Cell Phone Number:*

Phone Area Code-Phone 3-Phone 4 ext Extension

Primary Email Address:*

Ward number if known:*

Would you consider being a Neighborhood Watch Block Captain?*

Once a person has decided to take on the role of being a Block Captain they become the go between for their neighborhood and the Florissant Police Department. They commit to the responsibility for organizing their neighborhood to “Take a Stand” against criminal activity.

Here are a few recommendations for a Block Captain to follow once committed to the position.

Please Do Not Complete The Following Field

• Select the area you will cover, normally no more than 10-15 homes. Try to keep your group small. It will make your meetings more manageable to ensure their success.

• Contact the residents in your surrounding neighborhood. Preferable door-to-door.

• Explain the purpose of your visit and describe the purpose of the Neighborhood Watch program.

• Seek their commitment to be an active partner explaining the importance of neighbors watching out for each other.

• Make list of those residents willing to participate, Name, address, phone numbers (home and work), and if possible an email address.

May a Neighborhood Watch volunteer contact you?

Neighborhood Watch Registration Form

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