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2. Who is the Cop Cars to the Community visit for? Please also give any details of the occasion.
6. Full Name (Parent/Guardian/Organizer)*
8. The address must be in Danville. Unfortunately, we are not able to schedule visits outside Danville.
10. Address (Street, City, Zip)*
11. Nearest Cross Street*
13. Cell Phone*
14. Home Phone
16. Email Address*
20. Drop-in visits are approximately 30 minutes.

    Please select the best date and time for your visit below. Please add details of any other information that will help us schedule your visit.

22. Requested Date & Time for Visit

    Please submit your request at least 7 days in advance of your requested date. We do try hard to meet all requests but please be aware that your requested date and time might not be available.

24. Additional Drop-in Visit Request Information
28. If you need to make any changes after submitting your form please call (925) 314-3700. Thank You!

    We do try hard to meet all requests but please be aware that filling out this form doesn’t guarantee a visit. Members of our Volunteer in Policing program will work with you, and we will try to find a date and time that works, but we cannot guarantee that it will be possible to schedule a visit. In the event that we have to cancel, we will attempt to contact you as soon as possible. Officers may have to leave or cancel suddenly in the event of a priority call.

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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