Great ShakeOut 2025

Organisation Name *

Organisation Category *

First Name

Last Name

Contact Phone

Contact Email *

Town / Suburb

Date of your drill?

Number of people participating?

Describe your plans for the Great ShakeOut this year

Privacy Notice: Your contact details will only be used by VICSES to promote and coordinate ShakeOut activities. VICSES will register drills with the global ShakeOut program. Your details will not be shared any further.

Check this box if we have your permission to list your organisation name in the "Who Is Participating?" section of the VICSES or ShakeOut web sites?