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CERT Class Registration

  1. If you have any functional or access needs, please let us know what accommodations we can make to allow you to more fully participate in our class.

  2. Are you age 18 or older?*

    If you are at least 14 but under the age of 18, you may attend the class, but must be accompanied by a parent or guardian throughout the class.

  3. Are there any comments or other information that you would like to include with your registration?

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  5. This field is not part of the form submission.