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2. First Name*
3. Last Name*
5. Email*
6. Phone Number (Optional)
8. Which Neighborhood Area do you live in?*
   -- Select One --Area 1: NorthwestArea 2: Rusch ParkArea 3: CHANTArea 4: Arcade CreekArea 5: Park OaksArea 6: Sunrise RanchArea 7/8/9: CHASENArea 10: Sylvan Old Auburn RoadArea 11: Birdcage Heights

   If you are unsure which Neighborhood Area you live in, check here.

10. Where did you hear about Neighborhood Areas?

    Select all that apply.

    1. City Event
    2. City Council Meeting
    3. Neighbor
    4. Social Media/Website
    5. Other, fill in below
12. If you answered "Other" to the question above, please share your answer here.
14. Do you give Neighborhood Areas and Residents Empowerment Association of Citrus Heights (REACH ) permission to contact you regarding meetings, events and additional information?*

    1. Yes
    2. No
16. What are you interested in from your Neighborhood Area?

    1. Family-Friendly Events
    2. Civic Engagement
    3. Local Neighborhood Meetings
    4. Volunteering
    5. Other, fill in below
18. I am interested in the following items from my Neighborhood Area:
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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