FICRA Emergency Preparation and Citizens’ Patrol Volunteers Signup Form

If you haven’t already done so, please take a few minutes to read the last update to the Emergency Preparation Plan posted on our website. The document explains the Teams that are part of the Fox Island Emergency Preparation Plan in more detail.

Each of the teams supporting the Plan needs more volunteers, especially the Neighborhood Teams (Block Captains) and Citizen’s Patrol. We appreciate your support in this important endeavor.

Emergency Preparation and Citizens’ Patrol Volunteers

My Information

First Name / MI *

Last Name *

Primary Phone Nbr *

Addl Phone Nbr

EMail Address *

Address *

City *

State * ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code *

I am interested in assisting in the following areas:

NBC

Neighborhood Block Captain

Neighborhood Block Captains (BC’S) organize their local community to be able to respond in an emergency.

CP

Citizens’ Patrol

Citizen’s Patrol members provide ongoing patrol and monitoring support and assist in emergency transport.

---

MD

Medical Doctors, Nurses and Support Staff

Citizen’s Patrol members provide ongoing patrol and monitoring support and assist in emergency transport.

B

Boaters

Boaters assist in the evacuation plan.

---

HO

HAM Operators

HAM Operators staff the Communications Center.

D

Drivers

Drivers provide transport to evacuation points and other sites.

If you are human, leave this field blank.

Submit Clear and Reload Form

Δ