F.E.A.T. / Jeffco - Mail In Application
This application is to join the
Four-wheel Emergency Assistance Team, a program of the Colorado Association
of 4 Wheel Drive Clubs, Inc. (CoA4WDCi) and/or Jeffco Response Team..
You need NOT be a member of the CoA4WDCi or one of its clubs. In addition to providing 4wheel drive
transportation to Denver’s emergency services workers through their
Office of Emergency Management (OEM) during snow emergencies, FEAT is
now providing emergency services to Jefferson County’s (OEM). This
service will not be used during snow emergencies, but could include moving
supplies and personnel to firefighters using our 4wheel drive vehicles
or assisting in floods, or other services in which Jeffco may need help. Please provide the following contact information: Please check one or both: I would like to Volunteer for FEAT ___ / I would like to Volunteer for Jeffco ___ First Name:_______________________ MI:_____ Last Name:______________________________ Address:_________________________________________________________________________ City:________________________________________ State: Colorado ZIP:________________ Home Phone: ____ _____ ________ Work Phone: ____ _____ ________ Cell phone ____ _____ ________ E-mail:_______________________________________________ @_______________ 4WD Vehicle:_____________________________________________________________________ Year:___________ Make:_________________Model:________________ Emergency Contact Information Name - Last: __________________________First: ______________________________ Relationship________________________ Phone: (H) ____ _____ ________ (W) ____ _____ ________
Cell ____ _____ ________ Please print this page, fill in the information, sign
below, and mail to: Signature: ______________________________________________ Date: _________________ |