Special Needs Registry

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Special Needs Registration Form

This Registry will assist Emergency Response personnel with identifying residents in need of assistance with transportation to the Town shelter during a natural disaster or homeland security situation.  Registration with the Special Needs Registry is voluntary.  The Registry will provide Emergency Response personnel with a listing of residents who have requested assistance during an evacuation.  All information will remain confidential.

If you or a family member is interested in being included on the Special Needs Registry, please click on the link to the registration form below, print it, fill it out and return to the address provided.