CERT Sign-up

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Please correct the field(s) marked in red below:

Thank you for your interest in the Shoreline Community Emergency Response Training (CERT) program. If you are interested and can meet the requirements, please fill out the  interest form below.

CERT Member Requirements
• At least 18 years of age 
• Successful completion of ALL CERT Basic Training classes below
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Select Training Class:

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Participants must be willing to commit to attending ALL sessions. Are you available for the following dates/times?
Participants must be willing to commit to attending ALL sessions. Are you available for the following dates/times?
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Registration Information:

 *
Registration Information:
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Neighborhood

Neighborhood
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Do you require special accommodations during the training, such as vision, hearing loss, or mobility limitation? 
If yes, how can we assist?
  1. To receive a copy of your submission, please fill out your email address below and submit.