Fox Island Emergency Prep

Fox Island Neighborhood Watch

Home Check Request

Your Contact Information
Fox Island Address (Street/City, no PO Boxes):
*Departure Date:
*Departure Time:
*Return Date:
*Return Time:
  Emergency Contact People
Contact Person's Name:
Will someone be there to pick up mail, water plants, feed pets, etc?
 *Yes  No
Contact Person's Phone
Make/Model/Color of their Car:
Dates & Times they will be there:
Name/Phone of person picking up packages:
Will lights, radio, TV be left on?
*Yes  No
Do you have an alarm system?
*Yes  No  Who can disengage it?
Emergency Contact Person:
Emergency Contact Phone:
  Do Neighbors know you will be away?
*Yes  No
  And that Neighborhood Watch will be checking your property?
*Yes  No
Additional information:
  I hereby request the Fox Island Neighborhood Watch to conduct visual check(s) of the property listed above. I understand that the NW is a voluntary citizens association without any full or part-time employees and without any licensed law enforcement personnel; that the NW will drive by or check above property when possible, as a courtesy, without any obligation to do so, to check the property for any suspicious activity at the property; NW members are not responsible for picking up packages. NW members do not make arrests, do not carry weapons and do not take any enforcement action, while on patrol. The NW will report any suspicious activity to the Sheriff’s Department; there is no representation by the NW as to frequency of any such house checks. The undersigned holds the NW and its members harmless from any loss or damage to the property or the undersigned that may be suffered by the undersigned through any action or lack thereof by the NW or its members or any third party.
* I agree to the above terms and conditions.
*(required fields)
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