RVNW Volunteer Registration
Complete this form to volunteer for the Rural Valley Neighborhood Watch Program.
First Name *
Last Name *
Date of Birth *
Participants must be at least 18 years of age or older.
Street Address *
You must live within Rural Valley Borough limits.
Mailing Address
Phone *
Example: 724-783-0000
Mobile Phone
Example: 724-783-0000
Mobile Phone Group Messaging *
We will use a smartphone app called GroupMe to assist in communication and coordination. If you have a smart phone we encourage you to download the app so you can join the group. (Carrier data/message rates may apply.) Are you interested in joining the messaging group?
Are either of your phone numbers private? *
Please note that if you choose to join the GroupMe messaging group your number may be viewed by others in RVNW.
E-mail Address
In addition to GroupMe we will use e-mail for communication when possible. Please provide your e-mail address to be added to our mailing list.
Would you be willing to be a Block Captain? *
If there are no openings your name will be kept on a waiting list.
Disclaimer and Signature *
I certify that I am at least 18 years of age, a Rural Valley Borough resident and I agree to a limited background check. You must complete RVNW training prior to being activated into the watch. RVNW has a zero tolerance policy. By typing your name in the space below you agree to this statement and that all information entered above is correct to the best of your knowledge.
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