2. Ardmore Severe Weather Shelter Registration
4. Ardmore’s Severe Weather Shelter Registration Program is a free and voluntary program that allows residents who own a personal severe weather shelter in the Ardmore city limits to register their shelter with the City of Ardmore. Shelter registration is part of our effort to be proactive in response to rescue situations that can occur as a result of severe weather. This information will be used only in the event of structural damage from severe weather or other related incidents.
6. If you have questions or concerns please contact : Amber Wilson 580-223-4453
10. First Name*
11. Last Name*
13. Address1*
15. Address2
17. City*
18. State*
19. Zip*
21. Primary Phone*
    (ex 123-456-7890)
22. Secondary Phone
    (ex 123-456-7890)
24. Email Address
26. Year Shelter Built
    (ex 2014)
28. Type of Shelter*

    1. Above Ground Inside
    2. Above Ground Outside

    1. Below Ground Inside
    2. Below Ground Outside
30. Location of Shelter*

    1. Garage
    2. Backyard
    3. Frontyard
    4. Basement
    5. Center of Home

    1. NE Corner of Home
    2. SE Corner of Home
    3. NW Corner of Home
    4. SW Corner of Home
    5. Other
32. Medical Alert*

    1. Yes

    1. No
34. Comments
    (Individuals with special needs, disabilities, etc.)
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field