CERT


:: CERT Training Registration Form BASIC COURSE
COMMUNITY EMERGENCY RESPONSE TEAM (C.E.R.T.) 2018
BASIC COURSE REGISTRATION.
 
Click here for advanced course registration

Personal Information (All information is required

First Name:
Last Name:
MUST BE AT LEAST 18 YEARS  OLD
Birth Date:
MUST LIVE-WORK- IN THE CITY OF RIVERSIDE
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.) 2018 BASIC COURSE SCHEDULE 
Please select/click on the class you are registering
for below before you click submit. 

Problems Registering call (951) 320-8112

MUST LIVE/ WORK IN RIVERSIDE & BE 18 YEARS OLD

CLASS IS FULL - FEB 2-4, 2018

Fri. FEB 2- 6:00 pm –  9:00 pm     Sat. FEB 3 - 8:00 am -5:00 pm Sun.  FEB 4- 8:00 am - 5:00 pm

RIVERSIDE CITY EMPLOYEES ONLY  JAN 30, FEB 6, FEB 13, 2018

 Tues. JAN 30 9:00 am - 12:00 pm  Tues. FEB 6 - 8:00 am -5:00 pm  Tues. Feb 13- 8:00 am - 5:00 pm

  APRIL 13-15, 2018

 Fri. Apr. 13 -6:00 pm - 9:00 pm  Sat. Apr. 14 - 8:00 am -5:00 pm  Sun. Apr. 15-8:00 am - 5:00 pm

MUST ATTEND ALL SESSIONS PER COURSE FOR FEMA CERTIFICATE OF COMPLETION