Form Center

2. 

4. Use this form to be notified of opportunities to join the Poway CERT Team and other disaster preparedness training. You will be contacted by our staff as soon as possible with additional information.

6. First Name
7. Last Name
9. Phone Number
11. Email Address
13. Are you a Poway Resident?

    1. Yes
    2. No
15. The next CERT Basic Training Academy is scheduled to start February 10th, 2024 and occurs each Saturday for five weeks. The Academy requires attendance at all five classes. Are you interested in attending the next CERT Basic Training Academy?

    1. Yes
    2. No
    3. I'm not sure yet
17. How did you hear about Poway CERT?
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field