Security Patrol Request

If you are a current Garden Hills Civic Association member residing in a single family unit or structure, you may submit this form to request the security patrol check your home while you are away.

Your Name

Your Email

Your Phone Number

Your Phone Number While Away (optional)

Emergency Contact Name

Emergency Contact Number

Property Street Address

Departure Date

Return Date

Person(s) authorized to be on premises while away

Vehicle(s) authorized to be on premises while away (make, model, color)

GHCA Membership GHCA Membership I certify that I am a member of the Garden Hills Civic Association