Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Special Needs Registry

  1. Please complete the form below with the registrants information. You do NOT have to complete the entire form in order to register. If you are unsure of any information, you can skip and provide the information at a later date if needed. 

  2. Registrant Personal Information
  3. Name the registrant responds to

  4. Birth marks, Scars, Facial Hair, Tattoos, etc.

  5. Disability/Special Need
  6. Please check all that apply
  7. Communication
  8. In Case of Emergency
  9. Does the registrant have a cell phone or smart device?
  10. Please Upload Two Photos of the Registrant
  11. PNG or JPEG of the registrant's face

  12. PNG or JPEG including the full body frame of the registrant

  13. Vehicle Information

    If you are planning on placing a decal on your vehicle, please provide the following information

  14. RELEASE OF INFORMATION
  15. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that you are the lawful and legal parent and/or guardian of the person with special needs and you understand the information provided to the Opelika Police Department is for law enforcement to have all the necessary information to better handle a situation and that some information may be subject to public records laws. 

  16. It is the responsibility of the parent and/or guardian to update the information submitted as needed (i.e. physical changes, address changes, change in emergency contacts, etc.)

    Please allow 3-5 days for our Communications Team to add the registrant to the system. 


  17. Leave This Blank:

  18. This field is not part of the form submission.