Offices of Neighborhood Safety
Choose Peace Create Change Kick Off Rally
Requester Name
*
First Name
Last Name
Email ( if you want to receive updates from our office).
*
example@example.com
Resident status (are you a resident of Columbia yes or no).
*
Yes
No
How many people are registering for the event?
*
Please Select
1
2
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How many Adults?
*
How many Youth?
*
Submit Form
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