Please fill out this form for Neighborhood Watch.   1. Would you favor a Neighborhood Watch Program in our community   Yes No   2. Would you consider patrolling the neighborhood once every 2 or 3 months by car or by foot (Patrols are very flexible and require observation only – no intervention).   Yes No   3. Would you consider serving as a block captain if needed? (Block Captains serve as a point of contact for 5-10 homes around you.)   Yes No Name: Address: Home Phone: Work Phone: E-mail Address: