Shelby County Emergency Management & Homeland Security/Memphis Office of Emergency Management CERT Training
Must Attend Both Days - June 5 & June 12 - 8:00AM - 4:30PM
Sign in to Google to save your progress. Learn more
Email *
Last Name *
First Name *
Mailing Address *
Phone Number #1 *
Phone Number #2
Emergency Contact Number *
I understand that I must be present on both dates to receive credit for attending CERT. *I agree. I will call or text Eugene Jones at 901-304-9768 or Misty Haley at 901-305-1076 if I am unable to attend after completing this sign-up registration. *I agree. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy