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National Night Out Registration Form

  1. 2018 NNO logo

  2. National Night Out 2018 Registration Form

  3. New Patch

  4. EVENT DATE: OCTOBER 2, 2018

  5. Important Note: This form must be completed in order to officially register your neighborhood and to receive National Night Out materials. The Midlothian Police Department is the affiliated agency. Annual registration is required.

  6. Official Use Only:

  7. Leave This Blank:

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