ReBuild RB - Rebuilding and Connecting Rancho Bernardo San Diego for Wildfire Survivors

Family Sign Up

Name

Email address

Phone (optional)

Did you lose your home in the fires? Yes

Would you allow us to feature you & your family on our site? Yes

Featuring your family on our site will allow the public to see your needs list and contact information and hopefully donate or contact you with available donations

If yes, please include your address:

Street

Zip Code

May we post your email on the site? Yes

May we post your phone number on the site? Yes

Your preferred method of contact?

Do you have a photo of your family that we can add to the site? Yes (please send to This e-mail address is being protected from spam bots, you need JavaScript enabled to view it )

If no, may we take a picture of your family for you? Yes

Please list below the items your family needs:

Gift cards from the following businesses:

Furniture:

Other Needs:

I understand that submitting this information does not guarantee that I will receive any of the items that my family needs. Our goal is to connect fire families with those in the general public who have a desire to give. Rebuild RB has no control over whom, if anyone, will contact you. We also have no control over what type of offers you may or may not receive.
I understand and agree

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