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2. Residential Community Information
4. Name of Residential Community:*

   Enter the name of your neighborhood, apartment building, etc.

6. Residential Community Website:

   If applicable, enter the website URL for your neighborhood, apartment building, etc. 

8. Location of Residential Community:

   Enter the general location information of your neighborhood (i.e. nearby crossroads or landmarks) or the address of your apartment building.

10. What is the estimated number of households interested in participating in Marysville Ready Neighbors?

    Households that participate will receive a Marysville Ready Neighbors folder with customizable resources including a fill-in-the-blank Household Emergency Plan.

12. What do you hope to get out of Marysville Ready Neighbors?

    1. General support for individual and/or neighborhood preparedness
    2. Folders distributed to households
    3. Guest speaker at neighborhood meeting
    4. Further discussion with Marysville Emergency Management
    5. I don't know yet
    6. Other (explain below)

    Select all that apply.

14. Other

    What do you hope to get out of Marysville Ready Neighbors?

16. Neighbor Representative Contact Information

    Primary Point of Contact (POC) for Marysville Ready Neighbors related inquiries.

18. First and Last Name:*
20. Title/Position (if applicable)

    HOA positions, apartment building manager, etc.

22. Primary POC Phone Number:
24. Primary POC E-Mail:*

    Please double check for accuracy.

26. Neighbor Representative Contact Information

    Secondary Point of Contact (POC) for Marysville Ready Neighbors related inquiries.

28. First and Last Name
30. Title/Position (if applicable)

    HOA positions, apartment building manager, etc.

32. Secondary POC Phone Number
34. Secondary POC E-Mail

    Please double check for accuracy.

    
    

36. Email Distribution List

    1. We agree to be added to Marysville's Emergency Management distribution list for emergency-related information.
38. Review

    Thank you for submitting this form to join the official list of Marysville Ready Neighbors. Someone from Marysville Emergency Management will reach out to you with confirmation of this submission and next steps.

40. How did you hear about Marysville Ready Neighbors?*
42. Other Comments:
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field