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Altagether
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2026-03-03T19:12:48-08:00
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Name
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Mobile Phone
Email
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Address
*
Address Line 1
Address Line 2
City
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Are you willing to volunteer to make sure we have all neighbors listed for contact in Zone 130?
*
Yes
No
Tell me more
could Email your
How many in your household?
*
1
2-4
More than 4
Does anyone in your home have special needs that should be considered in an emergency?
*
Over 65
Disabled
Language Barriers
Single Parent with Children
Pets
What is your greatest concern or priority for recovery?
Do you have suggestions for emergency procedures for the future?
What gifts, talents, or contacts do you have that could be valuable to assist your neighnbors in the recovery process?
Are you interested in helping establish full representation for Altadena through neighborhood captains?
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