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2. The Parker Police Department's VISION Camera Registration Program is a voluntary database of residential and business locations with security cameras. We will only contact you if we believe one of your cameras may have recorded evidence that could aid a police department investigation. We will not have access to cameras, only footage you choose to supply.

   Thank you for your participation in this program and for helping make Parker safer.

4. First Name*
5. Last Name*
7. Business Name (If Applicable)

9. Addresses will be added to a map for Officers to reference when investigating a crime. For the map to populate correctly, we ask that you follow the formatting recommendations in grey in the boxes below and do not include any punctuation in your address.

11. Address Number*
12. Address Direction*
    -- Select One --NoneNESW
13. Address Street*
14. Address Suffix*
    -- Select One --AveBlvdCirCoveCtCvDrLnLoopPkwyPlPtRdRowRunStTerTrlWayNone
16. City*
17. State*
18. Zip*
20. Phone Number*
22. Email*
24. Type of Dwelling*
    -- Select One --Private ResidenceApartment/Townhome/CondoBusiness
25. Do You Own the Cameras?*
    -- Select One --YesNo
26. How Long Are Your Recordings Stored?*
28. Check Below if You are Not Interested in Communication from the VISION Program

    1. No Thank You
30. Terms*

    I understand that participation in this program does not make me an agent and/or employee of the Town of Parker or the Parker Police Department.

    1. I agree
32. Terms*

    All video I submit to the Parker Police Department will be unaltered.

    1. I agree
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field