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Police - Saturday, October 3, 2009, GAIN Event Registration
Community/Group Name
(if applicable):
Your group is:
Neighborhood Watch
Registered Neighborhood or HOA (w/the Neighborhood Partnership Office)
Apartment Community
Mobile Home Community
Event Coordinator's Full Name:
Complete Address:
Home Phone:
Cell Phone:
Best Time to Call:
E-mail:
Co-Coordinator's Full Name:
Complete Address:
Home Phone:
Cell Phone:
Best Time to Call:
E-mail:
Exact Location of Event
(please indicte if it is a community park, someone's home, etc.):
Cross Streets:
Time of Event:
5-7 p.m.
7-9 p.m.
Expected Attendance:
Type of Event (pool party, potluck, parade, etc.):
Please list any major activities:
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