Safe Room Registration

 

First Name::
Last Name::
Address 1::
Address 2::
City::
Zip Code::
Type of Shelter {Safe Room, In Ground}::
Shelter Comments::
Exact location of your safe room / storm shelter from your driveway::
GPS Location::
Number of occupants normally in your shelter::
Please list any physical / mental challenges occupants of your shelter may have::
Emergency contact name of an occupant normally in your shelter::
Phone Number 1::
Phone Number 2::
Emergency contact name of someone off-site::
Phone Number 1::
Phone Number 2::
Emergency contact name of someone off-site::
Phone Number 1::
Phone Number 2::
Hospital you wish to be transported too, if needed::
E-Signature::
E-Signature Date::

 

 By signing the E-Signature, I understand by registering my safe room / storm shelter with the Rolling Hills Fire Protection District No. 1, that my safe room / storm shelter will be checked for entrapment by debris, after a tornado. I understand my safe room / storm shelter will be checked as quickly as manpower is available to perform such search and rescue. I further understand that it may be several hours, depending on the size and scope of the emergency, before I can be rescued from my safe room / storm shelter. I understand that I need to keep my safe room / storm shelter stocked with survival supplies including non-perishable foods and drinking water. With my E-Signature, I hereby release the Rolling Hills Fire Protection District No. 1 aka Rolling Hills Fire Department aka Rolling Hills Fire / Rescue from any and all liability for any event and/or delay in rescue.
Recent Calls
Sat. Jan 30th 2016
Image
Mva on Will Rogers Turnpike with a grass fire. http://www.fox23.com/news/news/local/emergency-crews-respond-wreck-will-rogers/nqGJ9/
Tue. Jan 19th 2016
Medical 20102 E Admiral Pl. Canoe Brook
Sat. Jan 16th 2016
Medical 19724 E. 1st pl
Fri. Jan 8th 2016
Medical- 19713 E 2nd st difficult breathing
Facebook

Share

Rolling Hills Fire Department - Tulsa, OK

Fallen Firefighter

Flag

 

Links
Tulsa Firefighters Educational Clowns
2013 Fire Training Academy Video
2011 Basic Fire Academy Video
Facebook Timeline
Member Login
Picture Gallery
Image
Apparatus Gallery
Image

© 2021 Rolling Hills Fire Protection District No. 1