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Resilient Los Altos
Welcome, Visitor

Key Stakeholder Sites
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  1. City of Los Altos
  2. Santa Clara County Fire
  3. Your group can be listed here too...

New Resilient Los Altos User Information


Personal Information
User Name*  
A green checkmark means the user name you entered is available. A red X means that the user name is already used or contains special characters.
Max 30 characters. Can be your email address or other ID of your choosing. Letters, numbers and the characters . and @ are allowed.
First Name*
Last Name*
Address 1*
Address 2
City*
State*
Zip*
   
* denotes required field
 
Contact Information
Primary Phone *
Alternate Phone
e-mail #1 *
e-mail #2
* denotes required field
 
Enter Your Password Here
Password
Password is between 6 and 20 characters and can contain upper or lower case letters, numbers or the special characters ! $ * ?
Confirm Password
Things You Do
Bat Leader
Bat Co-Leader
Bat Member
Bat#
   
CERT
Ham
   
Other:
   
DSW
DSW Date
 
    
   
* Fields in red need your attention