Neighborhood Watch Registration Form

Please complete this form to register or join a Los Altos Neighborhood Watch Group. If your home is located within an existing Neighborhood Watch Group, we will connect you with your Block Captain. Please also consider signing up as a Block Action Team Leader, see losaltosbat.org.

For more information about the Neighborhood Watch program, call (650) 947-2776 or visit losaltosca.gov/neighborhoodwatch.

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Contact Information

Name: *

Address: *

House number and street name.

City: *

State: *

Zip Code: *

Primary Phone Number: *

Format: (650) 555-5555

Additional Phone Number:

Format: (650) 555-5555

Email:

Note: This email will be used for the Neighborhood Watch Contact List.

Please describe the boundaries of your new Neighborhood Watch Group (which streets will be included):

Neighborhood Watch Registration Form

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