Neighborhood Association Registration
Please complete your contact information, identify any committee participation interest, and share contributions or contacts you might have to support our block party on June 15th.

We will be using your contact information to create a database of the residents in the Fernwood district for communication purposes only.  It will not be shared or distributed.
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Email *
First Name *
Last Name *
Significant Other Name
Number in Household *
Address *
Phone Number
Contact Preference (check all that apply) *
Required
Do you have any interest in getting involved in the association committees? (check any that are of interest)
Any additional comments?
Submit
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