FDL COMMUNITY EMERGENCY ALERT– OPT-IN FORM SIGN UP FOR FOND DU LAC COMMUNITY EMERGENCY ALERTS
First Name: Last Name: Middle Initial: Suffix: Registration Email: Username: Password: Please Select Your Security Question Please Circle What is your maternal Grandmother’s maiden name/ What is the City or Town where your Mother and Father met? What is the name of your favorite childhood friend? What is the city or town where you met your spouse/significant other?
Where was your first job? What school did you attend in sixth grade? What was your childhood nickname? What street did you live on in third grade? What was the name of your favorite pet or stuffed animal? What was the last name of your favorite teacher? What is the city or town of your birth? Security Question Answer:
Please List Order to Contact You 1st/2nd/3rd and so on. (You must list at least 2) How do you want to be alerted: ______Business Email:______Personal Email:______Work Phone:______Home Phone:______Cell Phone:______Text Message:______TTY:______
www.everbridge.com
Weather & Hazard Alert Settings ____ Don’t contact me Between: Time ______AM/PM & Time______AM/PM Alerts Subscriptions Signed Up For: Please Check the Alerts You Would Like to Recieve ____Weather Alerts & Hazards
Flood __Sleet Advisory __Heat Watch
Flash Flood Advisory Required __Sleet Warning __Wind Chill Advisory
Flash Flood Warning Required __Sleet Watch __Wind Chill Warning
Flash Flood Watch Required __Snow and Blowing Snow Advisory __Wind Chill Watch
Flood Advisory Required __Snow and Blowing Snow Warning Fire
Flood Warning Required __Snow and Blowing Snow Watch __Fire Weather Advisory
Flood Watch Required __Winter Storm Advisory __Fire Weather Warning
Marine __Winter Storm Warning __Fire Weather Watch
__Gale Advisory __Winter Storm Watch Severe
__Gale Warning Non-Precipitation __Severe Thunderstorm Advisory
__Gale Watch __Excessive Heat Advisory __Severe Thunderstorm Warning
Winter __Excessive Heat Warning __Severe Thunderstorm Watch
Blizzard Advisory Required __Excessive Heat Watch Tornado Advisory Required
Blizzard Warning Required __Extreme Cold Advisory Tornado Warning Required
Blizzard Watch Required __Extreme Cold Warning Tornado Watch Required
__Blowing Snow Advisory __Extreme Cold Watch
__Blowing Snow Warning __Freeze Advisory
__Blowing Snow Watch __Freeze Warning __Freezing Rain Advisory __Freeze Watch __Freezing Rain Warning __Frost Advisory
__Freezing Rain Watch __Frost Warning
__Heavy Snow Advisory __Frost Watch __Heavy Snow Warning __Hard Freeze Advisory __Heavy Snow Watch __Hard Freeze Warning
__Ice Storm Advisory __Hard Freeze Watch __Ice Storm Warning Non-Precipitation Winter __Heat Advisory
__Ice Storm Watch __Heat Warning
www.everbridge.com
FDL Community Special Needs Fond du Lac Human Services Member __Dialysis __ Clinic & Pharmacy Closures (5) District __Hearing Impairment __Homecare Assistance __Min No Aya Win Clinic Closures __Cloquet __Life-sustaining Equipment __Min No Aya Win Pharmacy __Sawyer Closures __Mental/Cognitive Condition __Brookston __CAIR Clinic Closures __Mobility Impairment __Off-Rez __CAIR Pharmacy Closures __Refrigerated Medicines __ Mashkiki Waakaaigan Closures __Service Animal Required Minneapolis
Community Information __Speech Impairment
__Emergency Alerts __Supplemental Oxygen Required
__Head Start School Closures __Vision Impairment/Blind
__Cloquet Events & Closures
__Brookston Events & Closures
__Sawyer Events & Closures
www.everbridge.com