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Allen CERT Basic Training Application
Please use accurate and complete contact information, as this application will be used for our Responder directory during future callouts.
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* Indicates required question
I am at least 18 years of age.
*
CERT Responders must be at least 18 years old. Persons under 18 years of age are welcome to attend training with a parent/guardian.
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First Name
*
Legal first name
Your answer
Middle Initial
optional
Your answer
Last Name
*
Your answer
Preferred First Name
optional
Your answer
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