:: CERT Training Registration Form BASIC COURSE
COMMUNITY EMERGENCY RESPONSE TEAM (C.E.R.T.) 2014

BASIC COURSE REGISTRATION.  $15.00 COURSE FEE REQUIRED
Click here for advanced course registration

Personal Information (All information is required)

First Name:
Last Name:
Birth Date:
Address:
City:
State:
Zip Code:
 Home Phone:
(XXX) XXX-XXXX
Work Phone:
(XXX) XXX-XXXX
Cell Phone:
(XXX) XXX-XXXX
Email Address:
Physical Limitations: 
Volunteer Organizations
you Belong to:  
Felony Convictions (yes*/ no)
*Conditional Participation
 
 
COMMUNITY EMERGENCY RESPONSE TEAM (C.E.R.T.) 2012 BASIC COURSE SCHEDULE 
Please select the class you are registering for below. 
Problems Registering call (951) 320-8112

BASIC COURSE SCHEDULE - MARCH 2014   THIS COURSE IS FULL
MUST ATTEND ALL SESSIONS TO RECEIVE FEMA CERTIFICATE
Fri. MARCH 7, 2014   6:00 pm - 9:00 pm
Sat. MARCH 8, 2014    8:00 am - 5:00 pm
Sun. MARCH 9, 2014   8:00 am - 5:00 pm
BASIC COURSE SCHEDULE - MAY 2014 
MUST ATTEND ALL SESSIONS TO RECEIVE FEMA CERTIFICATE
Fri. MAY 2, 2014   6:00 pm - 9:00 pm
Sat. MAY 3, 2014    8:00 am - 5:00 pm
Sun. MAY 4, 2014   8:00 am - 5:00 pm
 

 

 
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