CERT


:: CERT Training Registration Form BASIC COURSE
COMMUNITY EMERGENCY RESPONSE TEAM (C.E.R.T.) 2015
BASIC COURSE REGISTRATION.  $15.00 COURSE FEE REQUIRED
Click here for advanced course registration

Personal Information (All information is required)

First Name:
Last Name:
Birth Date:
Address:
City:
State:
Zip Code:
 Home Phone:
(XXX) XXX-XXXX
Work Phone:
(XXX) XXX-XXXX
Cell Phone:
(XXX) XXX-XXXX
Email Address:
Physical Limitations:
**Describe special
accommodations
needed if any? 
Volunteer Organizations
you Belong to:  
Felony Convictions (yes*/ no)
*Conditional Participation
 
 
COMMUNITY EMERGENCY RESPONSE TEAM (C.E.R.T.) 2012 BASIC COURSE SCHEDULE 
Please select/click on the class you are registering
for below before you click submit. 

Problems Registering call (951) 320-8112

BASIC COURSE SCHEDULE - AUGUST 2015  THIS COURSE IS FULL
MUST ATTEND ALL SESSIONS TO RECEIVE FEMA CERTIFICATE
Fri. AUG 7, 2015  - 6:00 pm - 9:00 pm
Sat. AUG 8, 2015  - 8:00 am - 5:00 pm
Sun. AUG 9, 2015  -  8:00 am - 5:00 pm
BASIC COURSE SCHEDULE - SEPTEMBER  2015 
RIVERSIDE CITY EMPLOYEES ONLY
MUST ATTEND ALL SESSIONS TO RECEIVE FEMA CERTIFICATE
Thur. Sept. 3, 2015 - 9:00 am - 12:00 pm
Tues. Sept. 8, 2015 - 9:00 am - 12:00 pm
Thur. Sept. 10, 2015 - 9:00 am - 12:00 pm
Tues. Sept. 15, 2015 - 9:00 am - 12:00 pm
Thur. Sept. 17, 2015 - 9:00 am - 12:00 pm
Tues. Sept. 22, 2015 - 9:00 am - 12:00 pm
Thur. Sept. 24, 2015 - 9:00 am - 12:00 pm
BASIC COURSE SCHEDULE - NOVEMBER 2015
MUST ATTEND ALL SESSIONS TO RECEIVE FEMA CERTIFICATE
Fri. NOV 6, 2015  - 6:00 pm - 9:00 pm
Sat. NOV 7, 2015  - 8:00 am - 5:00 pm
Sun. NOV 8, 2015  -  8:00 am - 5:00 pm