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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: | |||||||||
