Diocese of Dallas Disaster Response Inventory
Thank you for offering to join the Diocese of Dallas' work crews in the Gulf Coast area. Please take a moment to fill out this form to give us a better idea of the assets we have available to us as a diocese. Your information will be stored in our database, and you will be contacted to determine your availability for upcoming deployments to the Gulf Coast.
Email address *
Name? *
Your answer
Age? *
Your answer
Primary phone number *
Your answer
Secondary phone number *
Your answer
Physical Address *
Your answer
Emergency Contact (Name and Relationship) *
Your answer
Emergency Contact phone *
Your answer
Emergency Contact E-mail *
Your answer
Please select all of the deployment dates you are available for: *
Required
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