2. FOR THE PUBLIC'S SAFETY AND OUR OWN, GARDEN RIDGE PD DOES NOT PROVIDE OUT OF TOWN PROPERTY CHECKS FOR OCCUPIED RESIDENCES.
4. REQUIRED FIELD*

   1. CHECK THIS BOX TO AFFIRM THAT NO ONE IS STAYING AT YOUR RESIDENCE WHILE YOU ARE AWAY.
6. RESIDENT (LAST NAME, FIRST MI.):*
8. STREET ADDRESS:*
10. CELL PHONE #:*
11. EMAIL ADDRESS:
13. DEPARTURE DATE:*
14. RETURN DATE:*
16. LOCAL CONTACT (LAST NAME, FIRST MI.):
17. PHONE #:
19. VEHICLES AT RESIDENCE (YEAR, MAKE, MODEL, COLOR, LICENSE PLATE & STATE):
21. OTHER INFORMATION:

    1. Lights On
    2. Lights On Timer

    1. All Lights Off
    2. Other Lights (Describe in Comment Section)

    1. Animals in Yard

    1. No Animals in Yard
23. NAME AUTHORIZED PERSONS OR BUSINESS (HOUSEKEEPER, YARD ATTENDANTS, REPAIRMAN, ETC.):
25. COMMENTS:
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field