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2. National Night Out/Night to Unite Event Registration

   The Oakdale Police Department wants your neighborhood gathering to be a successful celebration with a common theme of safety and crime prevention. If you would like to request that Police, Fire, Ambulance, McGruff, gear demo, career discussion, crime prevention topics, elected officials, etc., be part of your event, please fill out and submit the form at least 10 days prior to your event.

4. Location of Event*
6. Start Time of Event*
   Start Time of Event
7. End Time of Event*
   End Time of Event
9. Estimated Number of Adults Attending
10. Estimated Number of Youth Attending
12. Special Requests (check all that apply)

    1. Ambulance
    2. Career Discussion
    3. Crime Prevention

    1. Fire Personnel
    2. Gear Demo
    3. Mayor / City Council Member

    1. McGruff
    2. Police Personnel
    3. Other (please specify below)
14. Specify other request, not listed above
18. Contact Person*
20. Contact Person Address
22. City
23. State
24. Zip Code
26. Phone Number*
27. Email Address
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field