COMMUNITY TRAINING REQUEST
**Please visit ​http://lafd-cert-program.eventbrite.com/ prior to completing this form.**

To host a CERT Class (25 or more people) or request other types of training (Disaster Preparedness Presentation, Fire Extinguisher training, etc), please complete this form. As a respectful reminder, all classes are open to the public and no private courses will be offered.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number
Your answer
Training Location Address
Your answer
Zip Code
Your answer
Wifi or Internet Accessible?
Language Other Than English
Your answer
Type of Training *
Approximate Date Requesting
MM
/
DD
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YYYY
Approximate Time Requesting
Time
:
Additional Information
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How did you hear about CERT
Your answer
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