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Bringing neighbors together … for a safer community!
Salem’s National Night Out
Tuesday, August 5, 2014

BLOCK PARTY REGISTRATION FORM

PARTY ORGANIZERS
NAME  
PHONE  
EMAIL  
ADDRESS  
BLOCK PARTY
TIME YOUR PARTY STARTS
TIME YOUR PARTY ENDS
LOCATION
PARTY BLOCK ADDRESS
*THINKING OF HAVING YOUR PARTY IN THE STREET OR IN A PARK? If you wish to close your street during your event OR you wish to hold your block party in a city park, the appropriate permit must be submitted to the Public Works Department’s Parks & Transportation Services Division by 5 p.m. July 25, 2014. For more information about a permit for a street closure or park use, call 503-588-6211.
TEAM VISIT
Do you wish to have a National Night Out Team visit your party?


If yes, indicate the approximate number of children expected.


Add any special details about your party:
A team of Salem police officers and various crime prevention and local business mascots will be visiting block parties throughout our city. It is very important that you specify the time your party will begin and end. Please note, our ability to send teams will be based on the total number of parties registered. We will do our very best to accommodate all requests we receive.

JOIN US
FOR THE 8TH ANNUAL
NATIONAL NIGHT OUT
KICK OFF PARTY!

Look for your registration confirmation card in the mail with details about our 6th Annual NNO Kick Off Party on Tuesday, July 22, 2014.
Party hosts can pick up their commemorative block party item!

 

REGISTRATION DEADLINE July 25, 2014

CHANGES OR CANCELATIONS
Should you have the need for a change of time, location, or to cancel, please call the Crime Prevention Unit at 503-588-6175 as soon as possible by August 1, 2014.
PHOTO IMAGES
Often we take photos and/or audio/video at the various block parties visited by the teams. The images are shared for viewing by the community on our Web page or other means to demonstrate Salem's community unity against crime. If you do not wish for photos to be taken, please inform the team member.
RELEASE OF INFORMATION
We DO NOT release personal or block party info; however, we routinely get requests for block party locations from outside entities (Ex. media, politicians, churches, non-profits). Do YOU AUTHORIZE US to release the you provided on this form?