RVNW Volunteer Registration
Complete this form to volunteer for the Rural Valley Neighborhood Watch Program.
First Name
Your answer
Last Name
Your answer
Date of Birth
Participants must be at least 18 years of age or older.
MM
/
DD
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Street Address
You must live within Rural Valley Borough limits.
Your answer
Mailing Address
Your answer
Phone
Example: 724-783-0000
Your answer
Mobile Phone
Example: 724-783-0000
Your answer
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.
Your answer
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.
Your answer
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