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Citizens Police Academy Registration

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Universal City Police Department Citizens Police Academy Registration
YOU MUST BE A UNIVERSAL CITY RESIDENT OR WORK IN THE CITY TO REGISTER & ATTEND.
Name*
Address*
*Date of Birth (mm/dd/yyyy)*
City*
State*
Zip*
*Driver's License or ID No.
Company Name & Address:
*if not UC Resident
Phone Number:
Email
1) Emergency Contact(s)Name:
Phone Number
Address
Relationship
2) Emergency Contact(s) Name:
Phone Number
Address
Relationship
How did you learn about the Citizens Police Academy?
* Required for background checks and will be kept confidential.

Leave This Blank:

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