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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: Friday, October 12, 6 pm to 10 pm Session 2 : Saturday, October 13, 8 am to 5 pm Session 3 : Sunday, October 14, 8 am to 5 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