CPR CERT Sign-up

There is no longer an online form - it was being used by bots to send bogus information

Instead, please send this information in a separate email to info@cooper-cert.org

*First Name:
*Last Name:
*E-Mail Address:
Telephone:
*Street Address:

*Interested in (list all that apply):

    Receive Newsletters and Email Announcements
    Becoming a Block Volunteer
    CERT Training
    Other Volunteering
    Serving on Steering Committee

Other Comments or Questions:

*Starred items are required.