Report Vandalism

2. Vandalism / Graffiti Information
4. Date Observed*
   Date Observed
6. Select areas where vandalism/graffiti is located (check all that apply):*

   1. Community Center
   2. Community Park
   3. Opportunity Way Park
   4. Paseo
   5. Liberty Bell Park and Splash Pad
   6. Hiking or Biking Trail
   7. Wash
   8. Common Wall
   9. Parkside Neighborhood Park
   10. Commercial Property
   11. Other
8. If you selected Other, where is it located?
10. Please provide any additional location information and a description of the vandalism/graffiti. Be as specific as possible (i.e. spray painted words, fence, kind of surface, Adventure Playground, etc.)
12. If available, attach a photo
14. Contact Information

    In case additional information if needed, please provide contact information.

16. Name*
18. Daytime Phone*
20. Email*
22. By checking this box, you agree to receive SMS text messages from Anthem Community Council. Reply STOP to Opt-Out at any time. Messages and data rates may apply. Message frequency will vary. You agree to our Terms and Conditions and our Privacy Policy & Disclaimer.*

    1. Agree

    Privacy Policy & Disclaimer

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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