2. Community Emergency Response Team (CERT)

   Marysville Emergency Management offers several Community Emergency Response Team (CERT) classes a year. Filling out this interest form will add you to our distribution list so that you will be notified of any upcoming trainings, where you will then have the opportunity to sign up for specific trainings and/or waitlists. 

4. First Name*
5. Last Name*
7. Phone Number*
8. Email*
10. Address1*
12. Address2
14. City
15. State
16. Zip
18. Do you work in Marysville?*

    1. Yes
    2. No
19. Address of Employment*

    Priority is given to those who live and/or work in Marysville.

21. Physical Limitations or ADA Accomodations
22. Other Comments
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field