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2. 
4. This year's National Night Out will be different but we will remain connected as a community in new ways! National Night Out is a night where people join with neighbors to support their community and deter crime. This annual event reminds residents of Crime Prevention Through Environmental Design principles, like keeping porches lit at night and keeping shrubs and trees around your property well maintained. National Night Out encourages neighbors to connect with local police officers to get involved with their community.
6. In years past, we’ve encouraged residents to get involved with their neighbors for events on National Night Out. However, in accordance with NYS guidelines, all social gatherings must be limited to 50 participants or less. This year, we encourage National Night Out participants to celebrate from their own porches and to register for the virtual video conference celebration. Use the form below to register and you will be emailed an invite link to the virtual video conference.
8. Name of Organizer*
9. Email of Organizer*
11. Are There Additional Organizers?

    1. Yes
    2. No
12. Enter Names and Emails of Additional Organizers Below
14. Event Location / Address*
16. Do You Belong to a Block Club?*

    1. Yes
    2. No
17. Name of Block Club
19. How will your National Night Out Event Take Place? (Check all that apply)

    1. In the Virtual Video Conference
    2. On a Porch
    3. At a Street Corner
    4. In a Yard
    5. Other
20. If selected other, please specify
22. What measures will you implement to ensure that social distancing guidelines are followed?*
24. Who is the Individual Responsible for Maintaining the NYS COVID Safety Guidelines?
25. Responsible Individual Phone
27. Responsible Individual Email
29. Use the Space Below to Provide Additional Details About Your Safety Plan
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field