D4 Event Registration Form
Event Date
*
mm/dd/yyyy
Event
*
Bike Ride 2025
Canvassing
Coffee Hour
Community Education Fair
CPR Training
December 2025 Holiday Meeting
Earth Day
Evening Council Meeting
Fire Safety Walk
Health Fair
Job Fair
Monthly Meeting
Movie Night
National Night Out
Non-Profit Workshop Series
Police Week
Pre Fire Safety Walk
Resource Fair
Senior Event (luncheon/trip)
Shred Day
Other
D4 Organization?
*
First Name
*
Last Name
*
D4 Resident?
*
Cell Phone Number
Home Phone
Email
Neighborhood
Street Number
*
Street Name
*
City
*
Detroit
State
*
Zip Code
*
*
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