2. **At this time, some users are reporting issues submitting this form through Google Chrome. If you are experiencing difficulties, please try an alternative browser or email details of your event to laura.perkins@co.washington.mn.us. Thank you!**

4. First Name
5. Last Name
7. Email Address
8. Contact Phone Number
10. 2022 National Night Out/Night to Unite

    1. Check this box if this is a request for the Sheriff's Office to be present at your neighborhood National Night Out/Night to Unite gathering on August 2, 2022.
11. Date(s) of Event
12. Time of Event
14. Street Address
15. Location Name (if any)
16. Expected attendance
    -- Select One --0-2525-5050-100100-150150+
18. City of Event
19. Type of Event
21. Please provide a brief description of your event:

23. Please note any special requests for equipment and personnel below. Unless otherwise indicated, National Night Out/Night to Unite requests will include at least one deputy and one squad car.  Due to availability and staffing, we may not be able to honor all requests.

25. Request for Equipment (squad car, water patrol boat, etc.)
26. Request for Personnel (number of deputies, K9, etc.)
28. Please include any additional details or requests for your event:
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field