Indicates required field First Name Last Name Email Phone Number Phone Shelter Address Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Shelter Location - Select -Back YardFront YardSide Yard RightSide Yard LeftGarageIn-House Safe RoomBasement Shelter Type In Ground Safe Room Basement Other… Enter other… Year Completed What is the capacity / size of shelter How many people / diminsions of shelter (e.g. - 8 people / 8' x 8') Any special accommodations? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank