Registration
Bastrop Citizens Police Academy Registration Form
Name:
Address:
Home Phone:
Business Phone:
Tx. Drivers License:
Date of Birth:
Occupation:
Reason for wanting to attend the Citizens Police Academy:
Have you ever been contacted by the Police Department? Either for a traffic violation, reporting a crime, nedding assistance, etc.? If so, why? What was your impression of the officer and the department?
Date of registration:
*Signature: ___________________________________
*The Citizens Police Academy application will require your signature in person, to show your acknowledgment of the rules and regulations.
Note:
You may print and mail this form to: Bastrop Police Department, 104 Grady Tuck Lane, Bastrop, Tx 78602, or you may submit it online, and sign at the first class.
