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Register for the Community Emergency Response Team Training by completing the form below. For more information visit the CERT class information page.
Session 1: January 13th from 6-10 and January 14th and 15th from 8-5 Session 2 : January 16th -20th from 6-10 PM
All Requested Information Must Be Provided
Name:
Mailing Address:
City:
State:
Zip Code:
Email Address:
Home Phone:
Business Phone:
Are you a Jaycee's Member:
Yes No