Kennesaw Community Watch: Alarm Registration

Do you need the residential or commercial form?

Residential

Commercial

Homeowner's Name *

Name of Business

Owner's Cell Phone

Owner's Work Phone

Street Address

Additional Owner's Name

Additional Owner's Cell Phone

Additional Owner's Work Phone

List, in order, the persons to be notified in case of an alarm activation.

Name

Home Phone

Cell Phone

Name

Home Phone

Cell Phone

Name

Home Phone

Cell Phone

Alarm Company

24-Hour Phone Number

Does your residence have dogs?

Yes

No

If yes: Number of dogs and breeds.

Interior or exterior lights left on?

Yes

No

If yes: Location(s) of lights?

Do you have any additional security?

Yes

No

If yes: List any additional security information (i.e. cameras, fencing, etc.).

Are there any flammable, hazardous, dangerous, and/or toxic materials stored on the property where your business is located?

Yes

No

If yes: List the name of the substance, approximate quantity, container type, and the MSDS# for each material.

THE INFORMATION YOU HAVE PROVIDED IS STRICTLY CONFIDENTIAL AND WILL REMAIN IN THE 9-1-1 CENTER. THIS INFORMATION WILL BE USED TO ASSIST POLICE, FIRE, AND MEDICAL PERSONNEL IN THE EVENT AN INCIDENT OCCURS ON YOUR PROPERTY.

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