Teen CERT Application

NEW! Teen CERT Training! New program offered to students between the ages of 13-18.

Please complete your application by either downloading and filling out the PDF version here: Teen CERT Application PDF, or by filling out and submitting your information through the form below.

After filling in the form please Download the Waiver of Liability and fax or mail it in.

This field is required
This field is required
This field is required
This field is required
Select a date from the calendar.
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required

This field is required
Select a date from the calendar.

This field is required
Select a date from the calendar.
This field is required
This field is required
This field is required