Storm Shelter Registration Form

Shelter Name or Identifier

Shelter Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Type of Shelter

Maximum Occupancy (Number of People)

Is the shelter accessible for individuals with disabilities?

Name of Responsible Person or Owner

First NameLast Name

Phone Number of Responsible Person

Please enter a valid phone number.Format: (000) 000-0000.

Email Address of Responsible Person

example@example.com

Shelter Ownership

Availability of Shelter

Does the shelter have emergency supplies (e.g., water, first aid, flashlight)?

Additional Notes or Special Instructions