Neighborhood Services Registration Form
INSTRUCTIONS: Please complete the information about your organization below and ensure all requested information is complete. Once you have completed filling in your information, click the "Submit" button.
 

Neighborhood Information

Organization Name:

  

Year established:

Represents:

 Single-family Households Multi-family Households
  Commercial Properties Vacant Lots
Organizational Boundaries:
(List street boundaries)
North: South:
East: West:
List schools, parks and churches within the organization's listed boundaries: (List names and addresses)
City Council District:                        
Check all that apply:
HOA   Block Watch   *Governed by Management Company
*If governed by a Management Company, please provide contact information:
Representative's Name: Phone:
Management Company: Fax:
Address: Email:
   

General Information

Primary Contact
First Name Last Name Middle Initial
Address City State
Zip Code Phone    
Email Alt. Phone    
Secondary Contact
First Name Last Name Middle Initial
Address City State
Zip Code Phone    
Email Alt. Phone    
Board Members
President:
Vice-President:
Secretary:
Treasurer:
Organization Web Address:
Meetings: Monthly  Annual  Other
Meeting General Location:
Meeting Time:
   

List of neighborhood concerns/issues: