Paid Registration Winter

Winter Class Registration Form

You are about to register for a CERT training session. You will be taken to a PayPal screen after completing this form to submit the $25 non-refundable registration fee.

9 week basic training class

What do we call you? For instance, Elizabeth, Liz or Betty.

Home phone with area code.

Cell number with area code.

Select your Cell Phone provider for SMS Text Messages for emergencies or select No Text Service.

Work phone with area code and extension

Street Address, not PO BOX

ZIP or ZIP+4 code

If you have a HAM radio license, enter your Call Sign

Lamorinda CERT will make accommodation for all people with Access and Functional Needs. Please give us a brief summary of anything you need to make the class series work for you. We will do our best to accommodate you.

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