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CERT Callout Registration
This form captures contact information from CERT Volunteers who are willing, and who are expected, to respond to an Emergency beyond their own neighborhood if conditions permit.
Name *
Enter your full name
District *
Select your District Number from the Dropdown list
DSW *
Are you a sworn-in Disaster Service Worker and have a CERT ID Card?
EMail *
Enter your e-mail address
Cell Phone Number
Enter all 10 digits in this format: 999-999-9999. Enter your number ONLY if your phone can receive Text Messages
Carrier
Enter your cell phone carrier ( e.g. Verizon, ATT, Sprint, etc )
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