Show of Support—Count Me In!
By registering to receive emergency response updates, you're also letting the LB CERT-Naples Team know that you support their efforts to help the community prepare for and rally in the aftermath of a disaster.

By providing your contact information, you will be added to Naples Island's emergency response communication list. Your information WILL NOT be used for purposes beyond informing you of emergency related activities. The LB CERT-Naples Team is affiliated with the City of Long Beach's LB CERT program and is a committee of the N.I.A. (Naples Improvement Association). Please direct any questions to the LB CERT-Naples coordinator by emailing: LBCERT.Naples@gmail.com

NOTE: Be sure to click the "SUBMIT FORM" button once you have filled in your info. - THANK YOU!
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Please indicate your level(s) of interest: *
Required
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Phone
Your answer
Email *
Your answer
If known, please list the "DIVISION" in which you reside (based upon the map contained in Naples Emergency Response Plan)
Your answer
If known, please list the "BLOCK" in which you reside (based upon the map contained in Naples Emergency Response Plan)
Your answer
I have specific training/experience/interest in the following area(s)… [PLEASE NOTE: no training is required to be a supporter of Naples' Emergency Response Plan. This question helps us learn a bit more about the constituents in our community and can help with our follow-up.]
The LB CERT-Naples Team is using a series of dots on a large map to track where we have committed supporters, Block Captains and Committee Members on the island. Do you mind if we add a dot roughly at your property line to represent your support of the plan? No personal information or actual address will be used. Below is an excerpt from the map to help explain. Our goal is achieve 500 dots on the map by the end of 2019.
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Comments: Any other details you'd like to share regarding your interest in emergency preparedness.
Your answer
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