Event Registration for National Night Out Boston 2007.
Thanks for registering your event. Please carefully and completely fill out this form and we'll be in touch with you shortly. We ask that your event take place between Friday July 27 and Sunday August 12.
Full name:*
Street address:*
Neighborhood:*
Zip code:
Work phone number:
Home or mobile phone number:*
Email addresss:*
Best time to reach you:
8:00 AM - 10:00 AM
10:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 3:00 PM
3:00 PM - 5:00 PM
After 5:00 PM
Event Type*
Block Party
Lights On
Stoop/Porch Sit
Neighborhood Walk
Other
If you answered other for Event Type please explain:
Event Street Address:*
Event Date:*
Event Start and End Time:*
How many people do you expect to participate in you event?*
5-25
26-50
51-75
76-100
100+
Have you thrown a National Night Out event before?*
First Time
Second Time
Third Time
Four or More
If you are a member of a Neighborhood Crime Watch, which one?*
Are you a member of a Neighborhood Crime Watch?*
Yes
No
If you are not a member are you interested in joining or starting Neighborhood Crime Watch on your street?
Yes
Maybe
No
Is there anything else we can help you with or that you want us to know?
How did you hear about National Night Out Boston 2007?*
BostonCrimeWatch.com
Boston Globe
Boston Herald
Local Newspaper
TV
Radio
Friend
Co Worker
Crime Watch Meeting
Community Service Officer
* Indicates field is required.