G.A.I.N. Registration Form

Deadline to register your G.A.I.N. Party is Friday, October 21. If you register after this date, there is no guarantee that you will be placed on the visitation list.

If you are having a party on November 5, 2011, use this form to register your G.A.I.N. party with the Mesa Police Department. Please list contact information for only one organizer. If there are co-organizers, please only list one person as the contact.  If you are combining your party with other streets that are also neighborhood watch groups, please fill out one registration form for all streets that are participating to avoid duplication of party entries. Any questions about your G.A.I.N. party should be directed to Lindy Marino at 480-644-3921.

MY NEIGHBORHOOD OR COMMUNITY IS A/AN (choose one):

BLOCK CAPTAIN/PARTY ORGANIZER NAME

PARTY ORGANIZER NAME (if different from Captain listed above)

ORGANIZER PHONE NUMBER

ORGANIZER EMAIL

ORGANIZER ADDRESS

ZIP

PARTY LOCATION (address if different than above)

THIS LOCATION IS A (choose one):

MAJOR MAJOR CROSS STREETS   (i.e. Val Vista/University,  Sossaman/Baseline, etc.)

GATE CODE, IF YOUR PARTY LOCATION IS GATED

START AND END TIMES OF YOUR EVENT (must be a minimum of two hours between 4pm and 8pm)

ESTIMATE NUMBER OF ADULTS ATTENDING

ESTIMATE NUMBER OF CHILDREN ATTENDING

BRIEF DESCRIPTION OF ACTIVITIES PLANNED & ANY ADDITIONAL CAPTAIN/COORDINATOR NAMES

Please do not request specialty units. We understand that everyone would like to have McGruff, a fire truck, K-9 Unit, etc. visit their party. Visits are scheduled based on how many parties are registered, their locations and party times.