PC(USA) - PDA Register Your Church to Servce as a Shelter


	Register Your Church to Serve as a Shelter Shelter needs for those displaced by Hurricane Katrina are growing. PDA is ready to train congregations willing to offer their facilities as shelters in shelter management in accordance with American Red Cross shelter standards. Please complete this form if your church is interested. Someone will contact you as we formalize this response. * indicates required information

	Contact name: *

	Position held at church: *

	Church name: *

	Address: *

	City: *

	State: *

	Postal Code: *

	Telephone Number: *

	Email Address: *

	Has the church served as a shelter before? *		Yes No

	Approximately how many people can your church shelter? *

	Does the church have kitchen facilities? *		Yes No

	Does the church have shower facilities? *		Yes No

	Is there space to separate males and females? *		Yes No

	How many female bathrooms are there? *

	How many male bathrooms are there?*

	What date can your church begin serving as a shelter? *

	How long can your church serve as a shelter? *

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