Legacy Park Neigborhood Watch
The Neighborhood Watch Resource for the Legacy Park Community in Kennesaw, Georgia

 

Contact Information
Name:
 

* First

Middle

* Last
* Phone: * Email:
Address:
* Number

* Street Name

* Neighborhood

Your contact information will NOT be shared with any third party.

Participation

I'm interested in participating in the Legacy Park's Neighborhood Watch in the following capacity(ies):

Neighborhood Captain - One neighborhood captain per neighborhood will be required, except in Lullwater, which will have two. Neighborhood captains will serve as the point of contact for the neighborhood.
Volunteer - Volunteers will help to disseminate watch-related information to the residents in their neighborhood.
 
Special Needs (Optional)

I have the following special needs which I would like taken into account in the event of an emergency (check all that apply):

Blind
Chemical Hazard
Contagious Disease
Deaf
Elderly
Medical
Mental
Mobility
Other
Pet
Physical Hazard
Pool/Water Hazard
Respirator
Resources & Skills (Optional)

I have the following resources and skills which I am willing to make available to my neighbors in the event of an emergency (check all that apply):

Resources
10+ Mile Radios (charged)
100' Extension Cord
18v Cordless Drill
2'-5' Large Gorilla bar
4 Wheel Drive Vehicle
5+ Person Tent
Ambulance
Assorted Cribbing
ATV or dirt bike
Automated External Defibrillator
Back Hoe
Bus
Carpenter Saw
Chain saw
Continuity/Circuit Tester
Cordless Reciprocating Saw
Dog Kennel
Emergency Traffic Vest
Fire Axe
Generator
Hack saw
Hard hat
Large Fire Extinguisher
Large Pry Bar
Lineman's Pliers
Mass Casualty First Aid Box
Mattock/Pickaxe
Pickup Truck
Pole Saw
Portable Heater
Portable toilet/Porta john
Power boat
Propane Torch
Rescue Rope
Respirator
Single Blade Axe
Stretcher
Utility shut-off tool
Water Purification Tabs
Wheel chair
Skills
Backhoe Driver
Can Offer Food & Water
Can Offer Shelter
Can Shelter Pets
Construction
Counselor
CPR Training Current
Daycare Provider
Demolition
Doctor
Electrician
EMT
Firefighter
Gas fitter
Military
Nurse
Pharmacist
Plumber
Police
Radio Operator
Red Cross
Rescue Training
Roofer
Utility Employee

* - Required field.