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Neighborhood Surveillance Camera Registration

2. Would you like to help solve crime in your neighborhood?
   If you are interested in participating in sharing any moments from your home security cameras with Brighton Police Department that may help in investigating criminal activity in your neighborhood, please fill out the information below.

   If you are interested in participating in sharing any moments from your home security cameras with Brighton Police Department that may help in investigating criminal activity in your neighborhood, please fill out the information below.

4. First Name*

5. Last Name*

7. Address1*

9. Address2

11. City*

12. State*

13. Zip*

15. Is this a business address?*

    1. Yes
    2. No

16. Business Contact

    If yes, please provide business' contact name.

18. Phone*

19. Email*

21. Preferred Contact Method*
    -- Select One --Phone callEmail

22. Total Number of Cameras*
    -- Select One --12345678910

23. Video Retention Period*
    -- Select One --24 hoursOne weekOne monthSix monthsOne yearMore than one year

25. Camera 1

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

27. Camera 2

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

29. Camera 3

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

31. Camera 4

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

33. Camera 5

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

35. Camera 6

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

37. Camera 7

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

39. Camera 8

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

41. Camera 9

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

43. Camera 10

    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field