Handle with Care Registry

Please complete this form to register a person with the Kennett Square Police Department.

We also encourage you to submit information to Smart911. Smart911 is a free service that allows individuals and families to create a safety profile online, providing key information to Chester County’s 9-1-1 Center. It is completely secure and private. Registrants control what information they want 9-1-1 and first responders to have in an emergency situation. The safety profile enables faster and more effective emergency response by law enforcement, fire and emergency medical services. Safety profiles can be created at www.smart911.com. Residents can customize their profile and share any information they want the 9-1-1 call taker and response teams to have in the event of an emergency. The information is seen only when the resident dials 9-1-1 and it is automatically displayed to the 9-1-1 call taker, allowing him or her to send the right response team to the right location with the right information.

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.

Leave this field blank