BECOME A DISASTER VOLUNTEER Disaster Volunteer Registration Form First Name Last Name Email Address Mobile Phone Number Emergency Contact Name Emergency Contact Phone Number Would you be willing to volunteer at a shelter during a storm? Yes No Maybe Please list any physical limitations Please list any tools you have available Have you ever been convicted of a felony? - Select -Yes No Release of Liability Statement - Select -Yes Electronic Signature for Liability Release Reset CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank