Community Emergency Response Team (CERT) Training Registration

Community Emergency Response Team (CERT) Training Registration — Form Fields

This registration template includes 8 fields. Register community members for CERT disaster preparedness training courses. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email (email, required)
• Phone Number (text, required)
• Home Neighborhood (text, required)
• Availability (dropdown selection, required) — options: Weekday Evenings, Saturday All Day, Sunday All Day, Combination
• Previous Emergency Response Training? (multiple choice, required) — options: Yes, No
• Background or Skills (checkboxes, optional) — options: Healthcare, Construction, Search and Rescue, Fire, Military, Communications, None
• Are You a Local Government Employee? (multiple choice, required) — options: Yes, No