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Register for the 2024 California ShakeOut
Please note that fields marked in
bold
and with an orange asterisk (
*
) are required.
Category
Category
*
Select...
Individuals/Families
Childcare and Pre-Schools
K-12 Schools and Districts
Colleges and Universities
Local Government
State Government
Federal/National Government (Including Military)
Tribes/Rancherias
Businesses
Hotels and Other Lodgings
Healthcare
Senior Facilities/Communities
Disability/AFN Organizations
Non-Profit Organizations
Neighborhood Groups
Preparedness Organizations
Faith-based Organizations
Museums, Libraries, Parks, etc.
Volunteer/Service Clubs
Youth Organizations
Animal Shelter/Service Providers
Agriculture/Livestock Sector
Volunteer Radio Groups
Science/Engineering Organizations
Media Organizations
Other
Organization Name
*
Which are you registering?
*
The participation of my organization
The participation of a department or other subset of my organization
D
epartment
*
I have authority to submit this registration form on behalf of my organization.
*
Participants
Number
of people that will participate in your “Drop, Cover, and Hold On” drill.
Number
of staff that will participate in your “Drop, Cover, and Hold On” drill.
Number
of students that will participate in your “Drop, Cover, and Hold On” drill.
Contact Information
First Name
*
Last Name
*
Town/City
*
State
*
ZIP
*
County
Select your county...
Multiple Counties
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
Other
Country or Region
E-mail
*
Phone
*
ShakeOut Profile Password
(more than 6 characters)
*
Password (again, to ensure accuracy)
*
Organizations only:
Title
Street Address
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?
Your registration is being processed. Please wait a few moments.
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.
© 2024 Southern California Earthquake Center (SCEC), headquartered at the University of Southern California (USC)