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2. Purpose of Registry
   The Clay County Storm Shelter Registry is a program initiated by Clay County Emergency Management. The purpose of the Storm Shelter Registry is to provide a database of storm shelter locations in Clay County to assist emergency agencies in providing aid to victims of severe weather. The registry will be a valuable tool for emergency agencies in locating and assisting residents that may have been trapped in their storm shelters by tornado debris.
   
   The registry consists of a list of storm shelters and information for each shelter such as contact information, shelter address, shelter type, and where on the property the shelter is located. Clay County Emergency Management will maintain the database and the shelter addresses and the Clay County Sheriff’s Department 911 Dispatch will enter the shelter locations into the 911 address files. In the event of a natural disaster, address lists and address maps of affected areas can be communicated to emergency responders involved in the search and rescue operations so that those in need of assistance can be quickly located.
4. How to Participate
   Clay County encourages anyone with a safe room or storm shelter to register by completing the online registration form to submit their shelter information. Please be prepared to provide a name, phone number, email, shelter address, shelter location (i.e. back yard, front yard, garage, etc.), and shelter type (safe room, in-ground basement). You can register a safe room, storm cellar, in-ground storm shelters, or basements.
   
   The online form can also be printed and faxed to 785-632-5812 or returned to:
   Clay County Emergency Management Office
   703 Second Street
   Clay Center, KS 67432
6. Disclaimer
   Your storm shelter information will not be shared or distributed for any reason other than to aid Clay County emergency responders. This is a voluntary registration. By registering your storm shelter we do not guarantee that your shelter will be checked first. In case of an emergency situation, responders will evaluate the situation and prioritize their response based on the most urgent identified needs.
8. Last Name*
9. First Name*
11. Email Address*
12. Phone
14. Property Address*
16. City*
17. State*
18. Zip*
20. Shelter Type*
    -- Select One --BasementIn GroundSafe RoomOther
22. Shelter Location*
    -- Select One --1 - In Structure Area 12 - In Structure Area 23 - In Structure Area 34 - In Structure Area 45 - In Structure Area 5B - Back YardF - Front YardG - GarageL - Left Side YardO - Out BuildingR - Right Side Yard

    See the map below to determine the code for your shelter location.
26. 
28. Other Information
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field