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2. Pre-Registration - 2026 Junior Police Academy - Early Notification List

   To be notified when registration opens up for the 2026 Junior Police Academy, please fill out the information below. 

4. First Name*
5. Last name*
7. City*
8. State*
10. Phone Number*
12. Email*
14. Number of Children You Intend to Register*
16. Child(ren) Years of Age*
18. Your signature *
    (Print your name)
19. Date submitted*
    Date submitted
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field