Handle with Care Registry

The Handle with Care Registry is used by the Royersford Borough Police Department to help assist officers when interacting with individuals who may have conditions where officer presence may trigger aggressive or reclusive behavior. This form can give us information on ways to calm both adults and children who may have these triggers and provide us with additional knowledge on how to avoid the triggers and gain the trust of the individual if a triggering event has occurred.

Your Contact Information

First Name *

Last Name *

E-mail Address *

Phone Number *

Handle with Care Person

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Race(s) *

Gender *

Height *

Weight *

Location

Get Address from Map Marker

Organization / Building / etc

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Map Marker

Use Location Address Use My Current Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Information

Include school/work info, car info, triggers, calming methods, service animal, etc.

Additional Notes / Condition / Consideration *

Photo

Attach a photo (jpg, jpeg, png) of the person.

Emergency Contacts

Include as much contact information as possible, e.g. name, address, phone, etc.

Emergency Contact #1 *

Additional Emergency Contacts

Agree *

I understand that submitting a false report is punishable by law.

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