Donations Save Lives and Property - Agoura Hills Fire Safe Council

Company

This field is for validation purposes and should be left unchanged.

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Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Home Owner or Renter(Required)

Home Owner

Renter

Management Company

None of the above

I Wish to Participate in Cleanup Day(Required)

I want my home and my community to be safer from wildfires.

Yes

I Am Requesting Help(Required)

I am requesting help from my neighbor to remove ignitable vegetation from Zone 0 on my property.

Yes

I Wish To Volunteer To Help My Neighbor(Required)

I wish to assist my neighbor to remove ignitable vegetation from Zone 0 on their property.

Yes

HOA/Community (For Agoura Hills, CA Residents)

Please select your Home Owner's Association (HOA). If you do not have one or are not sure of your HOA, please select "No HOA." If your HOA is not listed here, please let us know the name of your HOA using the "Notes" field below.

Consent to receive emails from us(Required)

You allow the Agoura Hills Fire Safe Council to send you email notifications, educational instructions, and important information related to wildfire. It is crucial for you to keep up-to-date on wildfire mitigation to keep your family safe, and that you allow us to contact you.

Yes

I am an At Risk Resident

I am an "At Risk Resident," disabled or elderly, who may need assistance in the event of a wildfire. I understand that I will be added to a volunteer phone tree that will try to contact me to see if I need assistance in the event of a wildfire. The Agoura Hills Fire Safe Council is not an emergency service and should not be relied on for assistance. By checking this box you understand and agree to the conditions that our At Risk Resident phone tree is provided under the "Good Samaritan Laws" which protects people who provide reasonable assistance to those who are injured ill or incapacitated. The phone tree and assistance is not guaranteed. If you checked this checkbox, please be sure you have supplied us with your correct up-to-date phone number, email address, and home address. Please follow your local Fire Department's evacuation recommendations.

I am an At Risk Resident

Notes

Have questions? How can we help you?

Liberty Canyon Firewise Cleanup Day

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Agoura Hills Residents
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