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Account Details

Profile Details

Username (required)

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First Name

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Middle Name

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Last Name (required)

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At Least 18 Years Old? (required)

Select whether or not you are at least 18 years old

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Address 1

Physical address from which you can be dispatched as a FEAT volunteer.

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Address 2

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City (required)

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State (required)

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Zip Code (required)

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Contact Phone (required)

Phone number to which FEAT Dispatch will contact you during a emergency event for which FEAT has activated and needs your assistance as a FEAT Member.

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Driver's License Number (required)

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Driver's License Expiration Date (required)

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Driver's License State (required)

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