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2. Rock Watch Registration
4. Registered Owner Name*
5. Name of Business
7. Business or Residence?*

   1. Business
   2. Residence
9. Address1*
11. Address2
13. Castle Rock
14. Colorado
15. Zip
17. Phone Number (xxx-xxx-xxxx)*
18. Email Address*
20. If you have more than one address/location you would like to register, we ask you to submit a separate form for each location.
24. Cameras
26. Number of cameras at location viewing public areas*
28. Please describe the location of each camera at the address that are facing or observing public areas, streets, sidewalks, parking lots, etc.
30. Camera 1
32. Camera 2
34. Camera 3
36. Camera 4
40. Video Recording Information
42. Camera Type

    1. Ring
    2. Nest
    3. Amazon
    4. Comcast
    5. ADT
    6. Other**
43. Video Recorded

    1. Yes
    2. No
45. **If other, please list below
47. Other Recording Information
49. How did you hear about our program?

    1. Police Officer
    2. Facebook
    3. Nextdoor
    4. HOA
    5. Other***
51. ***If other, please list
55. Additional Contact Information
57. Contact #1
58. Title
60. Phone Number (xxx-xxx-xxxx)
61. Email Address
63. Contact #2
64. Title
66. Phone Number (xxx-xxx-xxxx)
67. Email Address
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field