National Night Out

National Night Out Against Crime

OFFICIAL REGISTRATION FORM

Organization/Group:
Primary Contact:
Title:
Address:
City:
Zip Code:
Daytime Phone:
Evening Phone:
Fax:
Email: 
May we give this information to the media for promotional purposes? Yes No
Who will participate (e.g. neighbors, businesses, church members, etc.?):

Please tell us what you are planning to do:

Where will your event be held? - Please be specific (name, address, zip code, etc.):

What time will your event begin and end? (e.g. 6-9 p.m.):
Type of group (e.g. neighborhood, civic, church, business, etc.):
How many people do you expect to participate in your event?
Would you like public safety personnel at your event?  
Fire Dept. Police Dept. Sheriff's Office
(Please note that most of the public safety personnel will be on-duty, which may limit their ability to participate.)

 
QUESTIONS?

Contact Brady Banks at 862-6000 or email at brady.banks@nashville.gov.

You may also download this form in PDF format to fill and out and mail in.

Mayor's Office of Neighborhoods
Metropolitan Courthouse
Nashville, TN 37201
Phone: (615) 862-6000
Fax: (615) 862-6001