2. 

3. Community Relations Department

   Staff: Katie Klein

   101 S. Shady Shores Rd

   Shady Shores, TX 76208

   940-498-0044

   community.relations@shady-shores.com

4. 

6. Shady Shores Night Out

   Neighborhood Event Registration Form

8. Name of Community/Street*
10. Location of Event*

    Street Name, between landmarks, etc

12. Date and Start Time of Event*
    Date and Start Time of Event Start Date

    Date and Start Time of Event Start Time

    —

    Date and Start Time of Event End Date

    Date and Start Time of Event End Time
14. Event Description*

    Describe festivities

16. Anticipated # of Participants*
18. Need barricades to block off major street

    If so, please identify which streets and how many

20. Name of Event Cooordinator*
22. Street Number*
23. Street Name*
25. Event Coordinator Phone Number
26. Event Coordinator Email*
28. Is this your first time serving as event coordinator?
30. Is this your community's first National Night Out Observance?
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field