CERT Exercises Registration
Fairfax County CERT Basic Final Exercises
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
I am CERT Trained and want to serve as a CERT-responder in the May 4, 2024 Master Exercise. *Please provide your CERT class # and locality in the last question on this form.
Yes, I would like to be a CERT responder
No, I prefer to serve as a role-player only.
What date are you registering for to serve as a role player / victim actor?
June 8, 2024 at GW Community School, Springfield, VA
August 3, 2024 at Lorton Workhouse Arts Center, Lorton, VA
Please email me when future opportunities are available.
Contact Number
*
Please select all that apply to you
*
I am not a graduate of CERT Basic Training
I am a graduate of CERT Basic Training (please identify locality and class number below)
I am a member (or parent or leader) of a scout troop that plans to volunteer as a group.
My CERT locality and class number is (e.g. Fairfax County, 145).
Submit
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