Grab n' Go Kits for AFN and senior communities (Berkeley)
Sign up to get a free emergency GoKit program (2020) specifically designed for seniors, people with disabilities, and caregivers. You must live or work in Berkeley, California, to participate.

All information provided here will be kept confidential. You can participate if you do not have an email address. If you do not have an email address, enter "info@bdpnnetwork.org" and provide a cell number where we can text you, or a phone number where we can call you.

This program is administered by the Berkeley Disaster Preparedness Neighborhood Network (BDPNN), an all-volunteer 501(c)3 nonprofit, made possible by funding from the San Francisco Foundation and the East Bay Community Fund. For more information go to www.bdpnnetwork.org.
Email *
Name
(Please note that you do not need to use your legal name, but we will need some way to identify you.)
How would you like us to contact you? *
Please provide your phone number if you would like to be contacted by text or require someone to call you:
Please check any or all that apply. I am a:
Note that your answer does not affect eligibility.
I can attend a GoKit distribution session
Clear selection
I need the following accommodations:
Zip Code
for residence or place of work
I would be willing to participate in a preliminary focus group aimed to make this program more efficient and effective.
Clear selection
A copy of your responses will be emailed to the address you provided.
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