2021 Shop with a Cop Entry Form

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2021 Shop with a Cop Entry Form

Please fill out the following form to enter your child to SHOP with our officers in support of our Northern Arizona Law Enforcement Toy Drive for less fortunate children so they too will have a present to open on Christmas morning!

Please Note: The children will not be shopping for themselves, they are shopping for other children within our community.

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Child's Name *

Your answer

Child's Age *

Your answer

Parent or Guardian Name: *

Your answer

Contact Phone Number: *

Your answer

Contact Email Address: *

Your answer

What does Christmas mean to you? *

Your answer

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