CVLC Hurricane Preparedness Information
Please fill out this form and click submit.
Name
*
Mailing Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Phone
*
Are you here Full Time or Part Time:
*
Please select all that apply.
I/we am a Full Time resident
I/we am a Part Time resident
If you are a FULL time resident would you like to serve on the Hurricane Response Team? This group will help implement congregational storm response.
Please select all that apply.
Yes
No
If you are a PART TIME resident please fill out the information below.
Winter information:
Winter Address:
Winter Phone Number:
Months you are at winter address: (example November - April)
Summer Information:
Summer Address:
Summer Phone:
Months you are at summer address: (example May - October)
We are looking for Members who will be up north during Hurricane Season, who would be willing to be part of the phone tree, to help contact people who may be affected by a hurricane.
Please select all that apply.
I/we WOULD like to be part of the Phone Tree
I/we would NOT like to be part of the Phone Tree
While you are gone do you have someone checking your property?
Please select all that apply.
Yes
No
If not how can we help?
Submit
Description
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