CERT Volunteer Application Form
We are looking for helpful, willing and organised individuals to join CERT.

As a CERT member you will be at the heart of your community, volunteering to help the people of your local towns and villages who may need help.

Name *
Please include your first and last name
Your answer
Date of Birth: *
Please note: for insurance purposes you must be 18 or over to be deployed in an emergency, but you can still join and attend training
Your answer
Email *
Your answer
Mobile Number *
Your answer
Alternative Number *
Your answer
Address *
Your answer
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