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Eastern Nebraska CERT
Community Emergency Response Team


Team Training Registration Form
This form is for existing CERT members, not for Basic CERT Class registration

     First Name    Middle Initial    Last Name
     Address    
     City    State    Zip Code
     Email        
Home Telephone      Second Telephone

Please register for only one event per submission.

Team Training    

Special Projects / Team Leaders 


Please list any comments below                                                                                              


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