PRCC

  • EMERGENCY

    DIAL 9-1-1

  • Non-Emergency

    (207) 945-4636

Wandering Registration Form

Name of person at risk
Include Rivers, Lakes, Ponds, Streams, pools drainage ponds, etc. in the area.
Street Address
Address Line 2
City
State, Zip / Postal Code
Street Address
Address Line 2
City
State, Zip/ Postal Code
Street Address
Address Line 2
City
State, Zip / Postal Code
Please list make / model / year / color
By filling out the release information you give your permission for any first responder agency (including but not limited to ~ Police / Fire / Rescue / EMS / 9-1-1 Dispatch Center and Search and Rescue personnel) to retain and distribute the information contained in this registration form to other first responder personnel, for the sole purpose of identification and protection of, the person identified above in an emergency or crisis situation.
You must submit a photograph of the person registered for the registration to be completed. You can email a digital photograph to wanderer@penobscot-county.net or you can mail a photograph to: Penobscot Regional Communications Center Attn: Wanderer Database 97 Hammond Street Bangor, ME 04401

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