Register with PREP

Become a PREP Member - Click to Register and fill out the form. An email address is required to confirm your membership.

Fill out the PREP Questionnaire - let us know YOUR special needs, your resources that you could provide.
Fill out the form below, fill out and print, we will come pick it up from you or can email it to info@prepgroup.org
OR Download a Questionnaire -PDF or Excel Spreadsheet-XLS, fill out and print, we will come pick it up from you or can email it to info@prepgroup.org
Be a PREP Volunteer - Call us at 945 - PREP and let us know about you and if approved you can help PREP with our Data Base for 945 - PREP help (Neighbors helping Neighbors) among other important tasks and importantly helping during an Emergencies.

POINT ROBERTS EMERGENCY PREPAREDNESS (PREP) QUESTIONAIRE


NAME:
Others living in house:
POINT ADDRESS:
Full Time/Part Time

PHONE
Day:
Night:
Cell:
E-mail address:
Do you have an old-style standard phone that has a cord that plugs into a standard phone jack?

Number of people at this address?
Adults:
Children:

Pets
Type:

Anyone Handicapped?
Illness:
Physical:
Other:
Would you need shelter assistance?

Family Doctor:
Phone:

Family or Friend to contact not in Point Roberts
Name:
Phone Home #:
Cell:

How can you support your neighbors?
Do you have Extra Space to take in neighbors or friends?
Number of people you can accommodate?

Can you accommodate Pets?
How many & type

Do you have a 4-wheel drive vehicle?
Do you have a RV/Motor Home with stove for cooking or generator?
Describe:

Do you have other sources of heating and cooking in a power outage?
Describe:

Can you make phone calls to check on a list of friends or neighbors?
Additional skills & resources:

User Name:
Temp Password:
Date Entered Into DB:
Group:
Data collected by:

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