|
SPDCPA will be holding their next General Meeting on September 19, 2017 at 7:00 pm
To join a Rural Crime Watch see the map below and fill in the application below and send it in with your required fee (dependent on the group).
Application Form.STONY PLAIN AND DISTRICT
CRIME PREVENTION ASSOCIATION CRIME WATCH GROUP: ___________________________________________________ SURNAME: ________________________________ (M) (F) GIVEN _________________________ BORN: Y____M____ D_____ SURNAME: ________________________________ (M) (F) GIVEN _________________________MAIDEN_________________ BORN: Y____ M ____D_____ PHONE: _________________________ BUS: ____________________________ ADDRESS __________________________________________________ CITY ___________________________________ SUB DIV __________________ LOT ______ BLK__________ POSTAL CODE _______________________ FARM/LEGAL _________________________________________________________ EMAIL _____________________________________________________________________________________ OTHER RESIDENTS OVER THE AGE OF 12 YEARS SURNAME ___________________________ GIVEN ________________________ BORN: Y ____ M ____ D ____ SURNAME ___________________________ GIVEN ________________________ BORN: Y ____ M ____ D ____ SURNAME ___________________________ GIVEN ________________________ BORN: Y ____ M ____ D ____ SURNAME ___________________________ GIVEN ________________________ BORN: Y ____ M ____ D ____ DECLARATION I understand and agree to a criminal records check by the R.C.M.Police and the release of this information, if necessary to the executive of the parent program, as part of my application to the PCCOPS telecomputer fanout system. I further understand and agree that should my participation in the above mentioned program be found to be unsatisfactory by association or the R.C.M.Police, for cause, my membership may be terminated and all association materials will be surrendered in full. The information contained in this application is privileged and confidential information intended only for the use of Golden Spike Rural Crime Watch Society/Stony Plain & District Rural Crime Prevention Association & R.C.M.P and will be held in strictest confidence. ***SIGNATURE __________________________________________________ DATE ___________________________ OFFICE USE ONLY OFFICE USE ONLY OFFICE USE ONLY Fee Paid: Y N Receipt # ___________ Collected By _________________________ R.C.M.P. Clearance: Y N Approved by _______________________________ Date _______________________ District : D ____ Geographic : G ____ Plotted by: _________________________________ Cluster : C ____ Entered by: _________________________________ Atom : A ____ Traffic Safety
|
|
If you have any information on any crime please contact the Stony Plain RCMP at 780-968-7267 or call Crime Stoppers at 1-800-222-8477.
|
|
