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First Name Last Name Home Address Home Phone Work Phone Cell Phone Vehicle Color/Type/License - E-Mail Address: Emergency Contact Name - ER Contact Phone: Notes/Special Instructions - First Name Last Name Home Address Home Phone Work Phone Cell Phone Vehicle Color/Type/License - E-Mail Address: Emergency Contact Name - ER Contact Phone: Notes/Special Instructions - First Name Last Name Home Address Home Phone Work Phone Cell Phone Vehicle Color/Type/License - E-Mail Address: Emergency Contact Name - ER Contact Phone: Notes/Special Instructions - First Name Last Name Home Address Home Phone Work Phone Cell Phone Vehicle Color/Type/License - E-Mail Address: Emergency Contact Name - ER Contact Phone: Notes/Special Instructions - Block Watch Member List CAPTAIN: DATE: EVERETTWASHINGTONUSA Everett Police Department Crime Prevention Unit First Name Last Name Home Address Home Phone Work Phone Cell Phone Vehicle Color/Type/License - E-Mail Address: Emergency Contact Name - ER Contact Phone: Notes/Special Instructions - 05-09 Send to Crime Prevention