Emergency Data Registry

REGISTER NOW!

Complete the Emergency Data Registry Form if you need assistance or if you can help during a disaster. This form is to identify citizens that need special care in an emergency, ensure applicants are contacted during emergency situations, and maintain a volunteer database for assistance with disaster response.

All information on the Emergency Data Registry form will be maintained by Gates County Emergency Management, all Privacy Act Laws apply.

Emergency Data Registry Form (Printable)
Condado De Gates Direccion de emergencias y desastres registro de datos en caso de emergencia formulariom
In Case of Emergency- Will You...?



Required Medical Equipment






I CAN HELP! In the event of an Emergency, I would be willing to assist Emergency Management Officials by: