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Des Moines County Emergency Exercise Simulated Victim/Patient Registration

Steps

  1. 1. Step One
  2. 2. Step Two
  • Step One

    1. If participant is under 15 years of age, please provide the name of parent or responsible adult who will be the point of contact.

      I have checked the box to confirm that I am interested in participating in the Des Moines County Emergency Exercise on Saturday April 8th in West Burlington and I am, or my child is, at least 11 years old and in good health both physically and mentally.