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Night to Unite Registration Form

  1. Register by 5/31/19 for a chance to win! Submit by July 19 to receive an event gift box.

  2. Night to Unite - Tuesday, August 6, 2019 Neighborhood Registration Form

  3. Elk River Night to Unite logo

  4. Host Information

  5. Will event be canceled due to bad weather?*

  6. Event Information

  7. Both start and end times are required for scheduling.

  8. Approximate number of participants:

  9. Did you participate in 2018?

  10. Request for Police visit?*

  11. Request for Fire Department visit?*

  12. Do you need traffic barricades?*

  13. Neighborhood Programs

  14. Are you going to participate in the CAER food drive?*

  15. How will food donations be delivered?

  16. Are you a registered Neighborhood Watch group?*

  17. Are you interested in starting a Neighborhood Watch group?*

  18. For more information call CPS Linda Canton at the Elk River Police Department 763.635.1265

  19. Leave This Blank:

  20. This field is not part of the form submission.