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Registration

Please use this form when registering for CERT classes offered by the Issaquah Citizen Corps.

Completing the form below will begin the process of registering you for the upcoming CERT classes. These classes are offered by the Issaquah Citizen Corps with a grant from the City of Issaquah and as such Issaquah residents receive priority registration.

The pricing for the eight weeks of classes is set at $35 for the eight weeks. Class starts promptly at 6:30PM and may go as late as 9:30PM. Day of the week varies throughout the year so please consult the class schedules in the Events section.

Contact Information

First Name: ■

Last Name: ■

Address: ■

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City: ■

State: ■

Postal Code: ■

Email Address: ■

Main Phone Type: ■

Main Phone Number: ■

Backup Phone Type:

Backup Phone Number:

Emergency Contact Information

Name: ■

Phone Number: ■

Relation: ■

Other Information

Minimum Age Requirement: ■

By checking this check box, you are stating that the person listed in the contact information section of this form is 16 years old or older. At this time it is not permissible for a person younger than 16 years to enroll in this CERT program.

Comments:

Once this form is submitted, it will begin the registration process and you will be contacted concerning payment for the classes once you have been added to the class roster.

If you don't know how you should answer any of the above entries, please contact registration@IssaquahCitizenCorps.com for assistance.

Filed under: CERT, Class

Questions?

Email your questions to

cert@IssaquahCitizenCorps.com

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News: New Citizen Corps Board Members Feb 29, 2012; Spring CERT Classes available - Register Now Feb 24, 2012; Deployment Guidelines Dec 14, 2011; Extreme Weather 2011 Dec 14, 2011; More news…

Upcoming Events: Spring CERT Class - Final Drill May 19, 2012 12:30 PM - 05:00 PM — Issaquah Public Works; ICC Board Meeting May 22, 2012 07:00 PM - 09:00 PM — Issaquah Public Works; MRC Meeting Jun 12, 2012 06:00 PM - 08:00 PM — King County Library Service Center, 960 Newport Way NW, Issaquah; First-Aid/CPR/AED Training Jun 23, 2012 09:00 AM - 03:00 PM — Eagle Room, Issaquah City Hall; ICC Board Meeting Jun 26, 2012 07:00 PM - 09:00 PM — Issaquah Public Works; Previous events…; Upcoming events…

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