Privacy Notice: The Maricopa Region will not share or distribute personal information gathered by this form, except as required by law, and will use it solely for the purpose of providing emergency notifications. Your information is submitted over a secured connection.

Disclaimer and Program Rules PROGRAM RULES: (1) These emergency notifications should not be your only source for emergency information; you should also listen to a radio, television, or Emergency Alert System radio for emergency information. (2) The number, frequency, and length of emergency notifications will vary. (3) The members of the Maricopa Region, the City of Phoenix, and the Maricopa Association of Governments, its officers, agents, employees and contractors: (a) Do not guarantee that any particular message or type of message will be sent or that you will receive every message. (b) Are not responsible for lost or misdirected notifications, malfunction of communications equipment, computer equipment or software, or notifications that fail to be transmitted or received due to problems with servers or transmission (e.g., cable, telephone, satellite, etc.), human error, or any other cause.

I UNDERSTAND THAT THE MARICOPA REGION, THE CITY OF PHOENIX, OR THE MARICOPA ASSOCIATION OF GOVERNMENTS DOES HEREBY DISCLAIM ANY AND ALL WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE and assumes no legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, process or service provided. I have read, understand, and accept the Program Rules. I hereby request that emergency notifications be sent to the listed phone numbers for which I have legal authority to request transmission.

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