2. 
3. BPD Safe Place Decal and Sign Request
   Signing up to become a participant in the BPD Safe Place program is easy, FREE, open to participants inside the City of Bremerton. Participation is restricted to specific entities such as Businesses and/or Corporations, Social Service Organizations, Schools & Government Agencies. Due to safety concerns, this program is NOT designed, or authorized for individual and/or residential use.
   
   Prior to submitting your application, you must read and acknowledge the training portion of this document (below). Not understanding your responsibilities when participating in the BPD Safe Place program will have a negative impact on your business, organization, government, and most importantly, the victims of these crimes.
5. 
6. Placement of Decals
   Once you receive your BPD Safe Place decal, you must place it at the front entrance of your establishment. The placement location of the decal should be readily visible to the public from the sidewalk. Most establishments place the decal on their glass doors, or windows, 4'-6' up from the ground, so that the victims of crime who may be running by can easily see the decal and recognize the symbolism and messaging. More information about the decals.
   
   Only one decal, per request, per location. If your premise has multiple entrances and/or locations, please contact the BPD Safe Place Coordinator at Mitchell.Chapman@ci.bremerton.wa.us.
10. Organization Name*
11. Person Requesting*
13. Address*
15. City*
16. State*
17. Zip*
19. Email Address*
20. Phone Number*
22. Requirements
    Anyone requesting BPD Safe Place decals to display on their premise MUST agree to train their current and future employees, volunteers and staff of the following two requirements:
    
    If a victim of ANY crime (especially a hate crime) enters the premise requesting assistance, you, or your staff will:

    • Call 911 Immediately, AND
    • Allow the victim to remain on the premise until police arrive
24. I have read and understand the above requirements and agree to abide by them.*

    1. Yes
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field