City of Anaheim Community Emergency Response Team (C.E.R.T.) Class Registration
The CERT class is a 20 hour course taught in an interactive format including lecture, video, discussion, and hands-on activities.
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First Name: *
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Last Name: *
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Address: *
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City: *
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Zip Code: *
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Phone Number: *
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Email Address: *
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Emergency Contact Name: *
Though hands-on activities are light in nature, we prefer to have an emergency contact in the event of any unforeseen circumstance.
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Emergency Contact Phone Number: *
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Please tell us briefly why you are interested in the CERT program?
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Please list any previous training in emergency preparedness, first aid and/or safety you have participated in (previous training is not required):
If none, please indicate by "none."
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How did you find out about our CERT Program? *
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