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4. Would you like to participate in our National Night Out initiative, getting back to basics? Please fill out this form and leave your porch light on October 4, 2022, so we can make sure you are counted in National Night Out's crime prevention efforts!

6. National Night Out Porch Light Registration
8. Subdivision / Neighborhood*
10. Contact Information
12. Name*
13. Phone Number
15. Email*

    Email is needed to notify the winner of the $100 Longhorn Steakhouse Gift Card.

16. Address of the Porch Light*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field