Neighbourhood Watch Registry

Police Registration Form

To ensure we get your Police Alerts account setup quickly, please fill in all the required fields on this form as accurately as possible.

The following Information will be displayed in the Police Directory

City / Town or common name associated with your neighbourhood.

Police Services Division or Detachment

Please provide any additional towns within your police jurisdiction.

Police Services Website Address / URL ( if applicable )

Contact Name

Contact Phone
x

Contact Email

The following Information is for Registration and Validation purposes only

Account Information

Email Address
Repeat Email
Password
Repeat Password	password must be 4-13 characters

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UPDATE ERROR
Your new email addresses did not match!

<%error_badusername%> <%error_badpassword%>

UPDATE ERROR
Your new passwords did not match!

<%error_badpassword%> <%error_bademail%>

UPDATE ERROR
The email address you entered is not valid. Please try again.

<%error_bademail%> <%error_passwordformat%>

UPDATE ERROR
Please make sure your password is between 4 and 13 characters long, uses only the letters A-Z and/or the numbers 0-9 without any spaces.

<%error_passwordformat%> <%error_emailinuse%>

UPDATE ERROR
The new email address you entered is already used by another account.

<%error_emailinuse%> <%confirm_alldone%>

UPDATE COMPLETE
Your profile has successfully been updated. You can review it below.

<%confirm_alldone%> <%confirm_unsubscribe%>

UNSUBSCRIBE SUCCESSFULL
Your email address has been removed from all Neighbourhood Watch Registry mailing groups. Your will not receive any further email from us unless you choose to re-activeate your profile by joining one of the newsletter groups below.

<%confirm_unsubscribe%>

Current Email Address

Unsubscribe

If you would like to unsubscribe from all Neighbourhood Watch Registry newslettters, please click on the button below.

Change Email Address

If you don't want to change your email address, leave these fields blank.

New Email Address
Repeat New Email

Change Password

If you don't want to change your password, leave these fields blank.

New Password
Repeat New Password

Email Format

HTML TEXT

Contact Information

Salutation
Title
First Name
Last Name
Address 1
Address 2
City
Province
Postal Code
Phone Number
Fax Number

Zone Information

If there is more then one logical zone in your neighbourhood, please give each zone a name such as "North East" and a description using street names or landmarks to outline the zone boundaries.

1) Zone Name
1) Zone Description

2) Zone Name
2) Zone Description

3) Zone Name
3) Zone Description

4) Zone Name
4) Zone Description

5) Zone Name
5) Zone Description

6) Zone Name
6) Zone Description

7) Zone Name
7) Zone Description

8) Zone Name
8) Zone Description

9) Zone Name
9) Zone Description

10) Zone Name
10) Zone Description

Estimated # of households:

Estimated # of established Neighbourhood Watch Chapters in your jurisdiction?

Police Registration Form

Account Information

Unsubscribe

Change Email Address

Change Password

Contact Information

Zone Information

Login

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Chapters

Police Alerts