To register for a course listed
above, please complete the following form. You will receive a
registration packet in the mail before your first class. If you need
additional information, send us an email from the
contact us page or call 972-463-3906.
*Name:
*Address:
*City:
State: TX
*Zip Code:
Cell
Phone:
Email:
*Course Date/Time
Requested (Select One)
*Required
By submitting this form, I agree to participate in the
complete 20-hour Rowlett Emergency Response Training course. I understand that
only those who live or work in Rowlett, and attend all classroom sessions and the hands-on training will
have the opportunity to join Rowlett CERT and receive the basic CERT equipment and ID cards.
The Rowlett Citizen Corps Council encourages
our residents to take preparedness seriously in order to minimize loss of life and
property in a disaster. Because
of their commitment, this class is offered free of charge to Rowlett residents. All other students will be charged a fee up to $15 to cover costs
of course materials.
If
you have any special needs or requests for the course please include them with
this form.
Special Needs/Requests:
