Yacht & Country Club of Stuart 2014 Emergency Information Form This information is collected to assist you, YCCS Security Officers, and the Emergency Planning Committee in an emergency situation. Click Here for Printable Copy
Year Round: Seasonal: Departure Date:
Local Home Phone:
Cell Phone :
Number of Inhabitants in Residence:
Northern Phone Number:
Emergency Contacts: Name: Phone: Address: Relationship: Email Address:
Pet Names and Type and Breed (Example: Bailey - Dog - Lab)
IF YOU ARE IN RESIDENCE DURING A HURRICANE OR OTHER EMERGENCY SITUATION:
Do you Plan to Evacuate:
Is there anyone in your home who needs assistace?
Do you have a generator?
Are you willing to share your generator with neighbors for phone charging, making coffee, etc?
If you plan to stay in your home, would you like a Security Officer or Resident Volunteer to regularly check on you after a hurricane/emergency?
"Resident Volunteers" are needed: are you willing to commit to being a Resident Volunteer and serving on the Emergency Planning Committee?
CROOKED CREEK RESIDENTS ONLY:
If you keep your boat behind your house, does security have your current boat information? (Please check with the Gate House to ensure they do have this current information)
If Security does not have current information about your boat, please complete the following:
Name of Boat:
Boat Registration #:
Is your boat stored out of the water on your dock?
Do you plan to secure your boat with lines across the Creek?
Special Instructions to Security Department:
© 2016. Stuart Yacht & Country Club