Medina Community Police Academy Alumni Association
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      EMERGENCY RESPONSE TEAM
    2013 REGISTRATION

    Please enter information in proper case & spelling.  Your data will be submitted to the PD electronically and needs to be in correct format or it will be rejected.
    The Medina Police Department has changed their information system.  Now, they can send out multiple notifications to those on the list.  It can be a phone call, email, text message or combination.  Please complete the form by inserting only the contact preferences you want.  If you don't want it, don't complete it.

    Deadline is January 1.

    We will be updating this every year and submitting it to the PD after the first of each year.

    If you have any questions, please contact Brian Haskell bhaskell@mcp3a.org  
    Thank you.
    Example: Verizon, AT&T, Sprint
    Complete this field if you want notification delivered by phone call to your mobile.



    Complete this field if you just want a text message.
    Complete this field if you want to receive an email.
    Complete this field if you want a phone call.
    In the event of an incident, you can be assigned to an appropriate area.
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