Night to Unite Registration Form

Yes, my neighborhood is planning a Night to Unite event on Tuesday, August 6, 2024

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My Name:

My Name

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My Address:

My Address

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My Phone Number:

My Phone Numberext.

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My Email Address:

My Email Address

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Location of NTU Event:

Location of NTU Event

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Time of NTU Event:

Time of NTU Event

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Number of Households invited to event:

Number of Households invited to event

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Yes, I would like to block off my street for our Night to Unite event.

Yes, I would like to block off my street for our Night to Unite event.

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Location we would like to block off:

Location we would like to block off

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If our request is approved, we agree to pick up the barricades from the Public Works Facility located at 700 15th Avenue North between 8:00 a.m. and 4:30 p.m. on Monday, August 5th or Tuesday, August 6th.  Please check in at the office to pick up.

If our request is approved, we agree to pick up the barricades from the Public Works Facility located at 700 15th Avenue North between 8:00 a.m. and 4:30 p.m.

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Number of Night to Unite get-togethers we have had:

Number of Night to Unite get-togethers we have had

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We have never had the following stop by:

Police Officer

Firefighter

Council Member

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Any other information you want to communicate:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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