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2. This program provides the Lynn Haven Police Department with the ability to maintain at risk resident’s relevant information and to have that information readily available prior to an emergency. By coordinating efforts with other local agencies, this program is designed to increase public awareness to help locate missing children or adults who may have wandered off or have become confused. The key to the program’s success is the collection of important information and data about the registrant that will be a useful resource in aiding police in locating your lost/missing loved one. Registering you or your loved ones information will allow the police department expeditious access to valuable information in the event of such an emergency. The Lynn Haven Police Department supports the utilization of this voluntary registration program; acknowledging that the application of this program will help facilitate an orderly resolution to what might otherwise be an intense instance of chaos or turmoil for members of our community.
4. Full Name*
5. Date of Birth*
   Date of Birth
7. Nickname
9. Race*
10. Sex*
12. Height*
13. Weight*
15. Hair Color*
16. Hair Style (Example: Length)
18. Eye Color*
20. Identifying Features/Tattoos
22. Full Address (Street, City, State, Zip Code)*
24. Home Phone Number
25. Cell Phone Number
27. Parent/Caregiver Name (If applicable)
29. Parent/Caregiver Full Address (Street, City, State, Zip Code)
31. Parent/Caregiver Home Phone Number
32. Parent/Caregiver Cell Phone Number
34. Known Medical Conditions*
36. Favorite Locations To Go To
38. Vehicle Description & Tag (If Applicable)
40. Upload Photo Here
41. Any Additional Information (Example: Habits, Patterns, Fears)
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field