Register your Neighborhood Watch Group

Registering your NW group with the Roseville Police Department helps us to keep you up to date with crime prevention newsletters, events, and updates.

Neighborhood Watch Group Registration Form
Date:  
Watch Type: Traditional Virtual Hybrid 
Neighborhood Watch Street / Group Name: 
 
Block Captain Information
Name: Phone: 
Address: Is phone # a cell? Yes No
Email:  
What is the best way to contact you? Cell Phone Text Message Email
  
Block Co-Captain Information  N/A
Name: Phone: 
Address: Is phone # a cell? Yes No
Email:  
What is the best way to contact you? Cell Phone Text Message Email
  
Is your Neighborhood Watch group affiliated with a Neighborhood Association? Yes No
If yes, which Neighborhood Association? 
What addresses are part of your Neighborhood Watch group?
1.  2.  
3.  4.  
5.  6.  
7.  8.  
9.  10. 
11. 12. 
13. 14. 
15. 16. 
17. 18. 
19. 20. 
There are more than 20 addresses; please contact me for the full list.
  

 



Security Measure