Do you have a video security system on the exterior of your home?*

Yes

No

If yes, would you be willing to have your address entered into a private/confidential database for the Rowlett Police Department?*

Yes

No

Participation would assist the Rowlett Police Department and their detectives in possibly solving crimes that may occur in your neighborhood. In the event of a crime, you would possible be contacted by the Rowlett PD and they would ask to observe your security/surveillance video.

Please understand this is entirely voluntary

If you still wish to participate, please complete the following:

Last Name*

First Name*

House Number*

Street Name*

City*

State*

Cell Phone*

Email*