Preparedness Project In-Person Kick-off Meeting Registration

First Name*

Last Name*

Number of Attendees*

Your address will allow us to verify that you live in Morgan County if you are applying for a GMRS license to receive a free emergency radio. If you are not applying for a radio, please include city and state. We maintain your privacy and do not share your information.

Address

Address Line 1

Address Line 2

City*

State or Region*

Zip

Phone number

Email*