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2. First Name*
3. Last Name*
5. Email Address*
6. Primary Phone*
8. Shelter Address*
9. City*
   -- Select One --Etowah LexingtonMooreNobleNormanOklahoma CitySlaughtervilleNot In City Limits
11. Shelter Location*
    -- Select One --Back yardFront yardSide yard rightSide yard leftGarage In-HouseBasement
12. Shelter Type*
    -- Select One --In groundSafe roomBasementOther (describe below)
14. If other, please describe:
16. Year completed:*
18. Comments
    If you have the latitude and longitude of your shelter, please enter them in this section.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit Submit and Print

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