Course Registration Form
Trainings will be held at 584 Lafayette Ave, Brooklyn, NY 11205
Full Name
First Name
Last Name
Which Course Is The Above Named Staff Member Taking?
Please Select
F-80 (Coordinator of Fire Safety & Alarm System in Homeless Shelters)
CPR/First Aid Certification
Fire Guard Prep
Date of Training
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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