Neighbour Watch Registration Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Please complete the information below to submit your registation for the Neighbourhood Watch Program in Osgoode. Fields marked with a '*' are mandatory. First Name * Last Name * Address 1 * Address 2 City * Province * Ontario Postal Code * Phone Email * I wish to be enrolled as a Neighbourhood Watch Member * I will also consider a position as Neighbourhood Watch Street Coordinator I will also consider a position as a Block Captain (group of houses) Please contact me to discuss volunteering with the Neighbourhood Watch Program I am interested in having a free Home Security Inspection I wish to receive Neighbourhood Watch information and alerts by email Note: Freedom of Information and Protection of Individual Privacy Act. Personal information on this form is collected under the authority of the Police Services Act s.41 and will be used to register with the Neighbourhood Watch Program in Osgoode. Questions about this collection of personal information should be directed to the Ottawa Police Service Community Police Centre nearest to you, or to the Osgoode Neighbourhood Watch Co-ordinator at email@example.com. For other assistance, please contact Lori Daneliak, your OVCA Neighbourhood Watch representative, at 613-826-2121 or by e-mail at firstname.lastname@example.org.