Goodyear

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CERT Interest Form

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CERT is about readiness, people helping people, rescuer safety, and doing the greatest good for the greatest number. CERT is a positive and realistic approach to emergency and disaster situations where residents will be initially on their own and their actions can make a difference. Through training, citizens can manage utilities and put out small fires; open airways, control bleeding, and treat for shock; provide basic medical aid; search for and rescue victims safely; and organize themselves and spontaneous volunteers to be effective. If interested, fill in the form below to be contacted next time a class is scheduled.

First Name *

Last Name *

Address *

City *

Zip Code *

Phone *

Secondary Phone (Optional) *

Email *

Have you participated in CERT in the past? *

If so, did you complete the class?

City of Participation

State of Participation

Created by AIPSS

Goodyear

CERT Interest Form

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Previous Experience