🏘️
Community & Personal
Neighborhood Watch Signup
Recruit block-watch volunteers with coverage areas, patrol preferences, and the contact details your coordinator needs before the first walk-around.
Use this template14 fields · Free · Customize before publishing
What this form looks like
Preview · not interactiveNeighborhood Watch Signup
Recruit block-watch volunteers with coverage areas, patrol preferences, and the contact details your coordinator needs before the first walk-around.
Your name*
Home address*
So we can place you in the right block group.
Email address*
Phone number*
Added to the block alert tree for urgent notices.
How long have you lived here?
Select…▾
Street or block you can keep an eye on*
e.g. Oak Lane between the school and the corner shop
Which evenings suit you for a walk-around?
Select…▾
How would you like to help?*
Patroller — evening walk-arounds on my block
Block captain — coordinate my street and welcome newcomers
Alert-only — call or text me when something needs eyes on it
I have a car and can do a slow drive-through when needed
I have a car and can do a slow drive-through when needed
I have a doorbell or security camera facing the street
I have a doorbell or security camera facing the street
Handy to know when following up — footage always stays yours.
Emergency contact (optional)
Name and phone — someone we can reach if you are on patrol
Can you attend a one-hour orientation?*
Yes — sign me up for the next session
Maybe — send me the dates first
No — I have done this before
Preferred way to reach you*
Select…▾
Code of conduct*
Code of conduct
Submit