Join Form

Enter your details below to join Rodney Neighbourhood Support Inc. (RNSI).

The collection of this information is for the express purpose of forming a community based data register to enable RNSI to deliver crime prevention and crime reduction indicatives and to facilitate the core role of RNSI in building safer communities. This information shall not be disclosed to any other parties except to the nominated strategic partners of RNSI and shall only be made available in the event of a community emergency situation being declared.

Fields marked with * are required

Your Name *

Your Email *

Address *

Mobile Phone *

Number of household occupants for Civil Defense purposes *

Police District * Kumeu Helensville Orewa Whangaparaoa Warkworth Wellsford Mangawhai

Are you or someone in your household over 65? * Yes No

Do you give consent to share your contact details in your Street Group if there is one? * Yes No

Are you interested in being a street contact if there isn't one in your street? * Yes No

Would you prefer to receive your Welcome Pack electronically? * Receive electronically Recieve Hard Copy

Hard packs include other handy items

Please tell us anything else

You consent to joining RNSI and agree to receive email communication from us by submitting this form and understand that your contact information will be stored with us. *

• YES

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