Member Application – Edmonton Neighbourhood Watch

Member Application

Member Application

Member Application

Address

Community

Postal Code

Home Phone

Cell/Alt Phone

First and Last Name

Gender

Email

What type of membership role are you applying for?

Community Representative
Neighbourhood Watch Ambassador
I am endorsed by my Community League
Regular membership
Other

Other type of membership:

Terms

By submitting this form,

I agree to allow my personal information collected on this form to be used by ENW.
The personal information on this form will be collected, used and disclosed as authorized by the Freedom of Information and Protection of Privacy (FOIP) Act and shall not be used for any other purposes without written permission.
I give ENW permission to communicate with me through my email address or phone number.
I understand that Membership with ENW must be approved and will be withheld if I am under 18 years of age or do not meet the requirement of a member in good standing.
I understand membership and Police Information Check must be renewed and Copy provided to ENW every 2 years.