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2. Does someone in your home have special needs? The Pasco Police's Project Guardian is a program developed to help keep your loved one with special needs, including autism, safe. The program is based on the Newport News, VA Police Department's Project Guardian.

   The program is a free, voluntary, and confidential database offered, managed, and maintained by Pasco Police for persons living within Pasco.

4. Registrant Information
6. First Name*
7. Last Name*
9. Date of Birth*
   Date of Birth
11. Address1
13. Address2
15. City
16. State
17. Zip
19. Best Phone Number*
21. Race*
22. Sex*
24. Height*
25. Weight*
27. Hair Color*
28. Eye Color*
30. Photo Upload*

    Upload a recent photo of the registrant. Only jpg, gif, or png files are allowed.

34. Caregiver Information
36. First Name*
37. Last Name*
39. Address1*
41. Address2
43. City*
44. State*
45. Zip*
47. Relationship to Registrant*
49. Date of Birth*
    Date of Birth
51. Best Phone Number*
52. Alternative Phone 1
53. Alternative Phone 2
55. Email Address*
57. Race
58. Sex*
60. Height*
61. Weight*
63. Hair Color*
64. Eye Color*
68. Alternate Caregiver Information (if needed)
70. First Name
71. Last Name
73. Address1
75. Address2
77. City
78. State
79. Zip
81. Relationship to Registrant
83. Date of Birth
    Date of Birth
85. Best Phone Number
86. Alternative Phone 1
87. Alternative Phone 2
89. Email address
91. Race
92. Sex
94. Height
95. Weight
97. Hair Color
98. Eye Color
102. Registrant Details
104. Diagnosis*
106. What are the registrant's favorite toys, objects, music, discussion topics, likes, dislikes?*
108. How does the registrant communicate? Is the registrant verbal or non-verbal?*
110. What types of behaviors should be expected? (Kicking, hitting, biting, spitting, self-harm, body rocking, hand flapping, self-talk)*
112. What is the best way to approach the registrant?*
114. Does the registrant have any trigger or sensitivities? (Lights, sirens, loud radio noise)*
116. If the registrant becomes confrontational, how can officers calm them?*
118. What works best to reduce stress or calm them?*
120. Detail any other information you think would be important for officers to know:*
122. If the registrant gets upset and runs away, where might they go?*
124. Does the registrant have any devices that could track their location, if lost?*
126. I, the undersigned, for myself and the registrant named above do hereby authorize the Pasco Police Department to release the aforementioned information in response to Emergency Calls (to include Missing Persons incidents) regarding the registrant and do further agree to indemnify and hold harmless the Pasco Police Department and persons (placed) associated with the Department.*

     Type name of Caregiver/Responsible Party

128. By checking this box and typing my name above, I am electronically signing my application.*

     1. I agree
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130. Submit

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