WHAT IS YOUR GROUP? (Select ONE)*: Block Neighborhood Neighborhood Association Apartment Complex Community Center Church OTHER

WHAT IS YOUR COUNCIL DISTRICT? (Select ONE)*: 1 2 3 4 5 6 7 8 9 10

YOUR NAME* (Last, First):

MAILING ADDRESS*:

ZIP CODE*:

DAYTIME PHONE (area code first):

EVENING PHONE (area code first):

E-MAIL ADDRESS:

PLEASE PROVIDE INFORMATION ON YOUR NNO ACTIVITIES:

WHAT IS THE LOCATION (ADDRESS) OF YOUR NNO ACTIVITIES
(Please Submit a Separate REGISTRATION FORM for each Location):

PLEASE INDICATE (enter YES) ALL ACTIVITIES YOUR GROUP WILL HAVE FOR NNO2007:

Organize Block Party 6-10pm:

Turn on Outside Lights 6-10pm:

Drive with Headlights on All Day:

Group HAS Contacted SAPD to Invite SAFFE/Crime Prevention:

Bicycle Rides:

Collect School Supplies to Donate:

Design and Make Paper FANS:

BBQ:

Potluck:

Parades:

Clowns:

Mascots:

Dunking Booth:

OTHER (Please BRIEFLY Describe):

OTHER (Please BRIEFLY Describe):

THANK YOU FOR SUBMITTING YOUR REGISTRATION ON-LINE