Thank you for your interest in the Coastside CERT program. By filling out the form below, you agree to receive emails from us about this program. We will not share your information with any individual or organization.
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Physical Address (alternatively, select Coastside Neighborhood in next question)
Kehoe/Casa del Mar
Cypress Cove/Stone Pine
Senior Campus/Sea Crest School
Arnold Way/Villa Cardoza
Main Street Park
Purissima/ Rural South HMB
Not sure which neighborhood
Phone Number (not required but recommended)
Are you a CERT?
Would you like to attend CERT training?
Are you a ham radio operator?
Would you like to become a ham radio operator? (Often the only reliable method of communication in a disaster.)
A copy of your responses will be emailed to the address you provided.
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