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Shelter Location: 

Grace Family Church – 22920 State Road 54, Land O’ Lakes, FL 33549

(813) 444-5288

PSO Direct Shelter Line – (727) 277-5716

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Agency Member Name
Spouse/Significant Other Name
Minor Family Members Sheltering with you
Please enter names and ages of each
Non-Minor Family Members Sheltering with you
Please enter names of each
Emergency Contact
Any Particular Medical Needs That The Shelter Should Be Made Aware Of
For example oxygen tanks, refrigeration needs for medications, etc.
Any Pets

This resource is for members only.  If you are a member, or the spouse of an agency member, please create an account.

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