Application for Weston Park/Grayson Square Block Watch Juniors
Youth from the Weston Park and Grayson Square Communities who:
Attend the Weston Park/Grayson Square Block Watch Meeting each month to share ideas.
Help deliver the Weston Park/Grayson Square Block Watch Newsletter each month.
Work with Weston Park/Grayson Square Block Watch on various projects.
PLEASE PRINT
_________________________________ __________________________________________________ _______ ________
Child's First Name Last Name Age Grade
Bicycle? Yes ______ No _____
_________________________________ _____________________________________________________________________
Parent First Name Parent Last Name
________________________________________________________________________________________________________
Address
Email Address: ____________________________________________________________________________________________
Signature: ________________________________________________________________________________________________
Date: _______________________________________________________ Phone #: (________) __________________________
Parent: By signing this form, you will be granting permission for your son/daughter to join the Weston Park/Grayson Square Block Watch Juniors.
This permission is valid until the Weston Park/Grayson Square Block Watch is notified in writing.
Please return signed form to: Weston Park/Grayson Square Block Watch Question, call 602-290-3680
2542 W Mobile Lane or email: W_P_BlockWatch@cox.net
Phoenix, AZ 85041