City of Wichita - Police Forms National Night Out Online Registration Form

Friday, November 20, 2009 :: Currently 53 degrees in Wichita

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455 N. Main
Wichita, Kansas 67202

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City of Wichita > City Offices > Police Department > Police Forms > National Night Out Online Registration Form

National Night Out Online Registration Form

Online Registration Form

Must Register prior to August 3, 2009.

First name

Last name

Party Location

Zip Code

Contact Phone

E-mail

Please provide the following information about your Block Party:

Starting time

Ending time

Number of attendees

Beat Number

CPO District

Type of Party or Activities planned:

Please be patient after hitting the submit button,
process can take up to 15 seconds.