Bartow County CERT Registration
This is the quick registration form for Bartow County Community Emergency Response Team (CERT). This is only to register for classes. After completion of this form, we will contact you about upcoming classes. Once you are approved for a class, you will receive a link to complete the online application. Please be sure to check your email (including Junk/spam folders) after you submit this form. You should receive a confirmation email almost immediately. Be sure to add
to your approved contacts or you may miss important information.
Phone (Best number to call)
Please do not include dashes or parentheses! Example 7701112222
If the number provided is a Cell Phone, is it okay to send text updates?
Text rates from you carrier may apply.
Are you 18 years old or Older?
Those under 18 will need a parental consent signed before the last class. Under 16 will be a case by case basis
Yes. I am 18 or older
No, I am between 16 and 18
No, I am under 16
How did you you hear about CERT?
Facebook/Twitter (provide page name in Other)
Are you interested in the next class schedule (see below)
October 15, 17, 22 and 24 from 6:00 PM until 10:00 PM. Simulation drill on Nov 2. All Classes are required for completion.
Yes, add me to the class roster
No, I can not attend this schedule, please keep me informed of future classes.
Criminal History/Background Check
As a part of a governmental volunteer program, it is required that each member of CERT have a criminal history background check completed by the Bartow County government.
Please check your email including Junk/Spam folders for an email of your response which will act as confirmation of your submission.
A copy of your responses will be emailed to the address you provided.
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