2021 National Night Out  Participation/Registration Form
National Night Out will be Tuesday, October 5, 2021, and we expect this year to be bigger and better than ever before.  To ensure you receive the support necessary to enjoy the best possible evening of safety and fellowship,the Shreveport Police Department requests all participants complete this form online or mail the completed form to:                                                

Shreveport Police Department
Attn:  Community Oriented
Policing Bureau
1234 Texas Street
Shreveport, LA 7110
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First Name *
Last Name *
Mailing Address *
Home Phone
Work Phone
Cell Phone
Exact Location of Event *
Approximate number of participants: *
Is this your first NNO event? *
Required
Do you require a Street Closure? if yes, a signed petition is also required. *
Required
Theme of Event *
Required
Agencies Requested *
Required
If you have questions, please call 318-673-6950.  Remember, your event must run from 6:00 PM until 9:00 PM.  To ensure as many events as possible will be visited by Police Officers and other City officials,  ALL Registration forms must be received no later than 5:00 PM, Friday, September 24, 2021.

INFORMATION PROVIDED WILL NOT BE USED FOR ANY PURPOSE OTHER THAN STRATEGIC PLANNING
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