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Welcome Back, !

Need to update your details or re-register for this year’s drill? Head over to My Account to review or edit your existing registrations.

I am a:

I am registering for:

About Our Organization

How many locations are you registering to participate?*
How many people will be participating?*
Organization Name*
Department Name (Optional)
My organization or school is a:
My business or organization best fits this category:*
Additional Details
Is the organization you are registering a subsidiary of a parent organization that may also be registering? (ie, a School is a subsidiary of a School District)
Is the organization you are registering a subsidiary of a parent organization that may also be registering? (ie, a local health clinic is a subsidiary of a health authority)
Please select your parent organization from the drop down list above. If it is not already listed, please use the "Other" input above and type in the name of the parent organization.
Please select your parent organization from the drop down list above. If it is not already listed, please use the "Other" input above and type in the name of the parent organization. If you are a public school, put your FULL district name (no abbreviations, such as "School District 99 Central Valley").

About Our Drill

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Most drills will be at 10:20 am on October 20th. You can hold your drill at another time this day if necessary. If you do not know your drill date now, check this box and select a date, which you can login and change later.
In addition to “Drop, Cover and Hold On”, my ShakeOut drill will include:
You can login to update this after you complete your registration.
Describe your organization's plans for participating in ShakeOut
Will you have any other activities in addition to a "drop, cover, and hold on" drill? If you have participated previously, what will you do differently or additionally this year?

About My Drill

Contact & Location Details

This information is needed in order to accurately count who is participating in each area.

Profile Setup

May we share information about your drill with researchers studying the ShakeOut?
You will also be invited to participate in a survey about your ShakeOut drill.
May we list your name and city in the “Who is Participating” section of the ShakeOut web site?
May we e-mail you ShakeOut news and updates?

Your Locations

You have indicated you have xx locations, please enter the name, regional district, and number of participants for each location so that we can count accordingly.

Location 1

Thank You!

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