The Great British Columbia ShakeOut - Register for the 2013 British Columbia ShakeOut

OTHER SHAKEOUTS
- Alaska
- Arizona
- California
- Central U.S.
- Guam
- Idaho
- Japan
- Nevada
- New Zealand
- Oregon
- Puerto Rico
- SouthEast U.S.
- Southern Italy
- Utah
- Washington
- Other States & Countries
- ShakeOut en Español

Register for the 2013 British Columbia ShakeOut

Category

Participants

Number of people that will participate in your “Drop, Cover, and Hold On” drill on October 17, 2013 (or within two weeks of 10/17, on this date: <1>).

Contact Information

First Name

Last Name

Town/City

Province

Postal Code

Regional District

Country

E-mail

Phone

Permissions

Yes
No

Is it OK to list your name/organization on our website as a participant?

Yes
No

Is it OK to share your information with researchers who are studying ShakeOut activities?

Yes
No

Is it OK to send you e-mail updates about the ShakeOut?

Location Where This Form Was Completed

Event location

If you experience any difficulties with your registration, please e-mail info@shakeout.org for assistance. Please be as specific as
possible about the issue you are experiencing so that we can provide you the fastest response.