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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:______

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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 Advisory Required __Sleet Warning __Wind Chill Advisory

Flash Required __Sleet Watch __Wind Chill Warning

Flash Flood Watch Required __Snow and Blowing Advisory __Wind Chill Watch

Flood Advisory Required __Snow and Blowing Snow Warning Fire

Flood Warning Required __Snow and Blowing Snow Watch __Fire Advisory

Flood Watch Required __Winter Storm Advisory __Fire Weather Warning

Marine __Winter __Fire Weather Watch

__Gale Advisory __Winter Storm Watch Severe

__Gale Warning Non-Precipitation __Severe Advisory

__Gale Watch __Excessive __Severe Thunderstorm Warning

Winter __Excessive Heat Warning __Severe Thunderstorm Watch

Blizzard Advisory Required __Excessive Heat Watch Advisory Required

Blizzard Warning Required __Extreme Cold Advisory Required

Blizzard Watch Required __Extreme Cold Warning 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

__Ice Storm Advisory __Hard __Ice Storm Warning Non-Precipitation Winter __Heat Advisory

__Ice Storm Watch __Heat Warning

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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

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