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If you are a new resident, please complete the entire form. If you are an existing resident, please only submit the corrected information. You must include your name, otherwise we will not be able to determine the sender of the from.
| First Name | |
| Last Name | |
| Name of Spouse | |
| Street Address | |
| Address (cont.) | |
| City | |
| State | |
| Zip/Postal Code | |
| Work Phone | |
| Home Phone | |
| E-mail #1 | |
| E-mail #2 |
Enter your children(s) name and birthdate(s) in the space provided below.
Are you interested in serving on a neighborhood committee?
If so, please list the committee below (Social, Architectural, Safety, or Park):
Do you have a v over the ag interested in being placed on the Babysitters List? If so, please enter name and age of child:
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