Course Registration for Community Preparedness Basics: Get Ready. Be Safe. Stay Healthy. Train the Trainer
October 23 & 24, 2018

Get Ready. Be Safe. Stay Healthy. Train the Trainer, October 23 & 24, 2018

This course will take place over two days.

Day 1 will take place as a live session webinar on Tuesday, October 23 from from 12:00-1:00 pm.

Day 2 will be a classroom session taking place on Wednesday, October 24 from 9:30 am - 12:30 pm at:

Green Roots

227 Marginal Street, Suite 1

Chelsea, MA 02150

Please fill out this form and allow 7-10 business days for review before confirmation of your acceptance by email. The confirmation email will contain more details about the logistics of the course.

If you have any questions please contact us at 617-343-1370 or delvalle@bphc.org

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* 1. Email

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* 2. Contact Information

Name *

Organization *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

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* 3. Please list any special accommodations you require.

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* 4. Type of Agency

Other (please specify)

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* 5. Which of the following best describes the area in which you work?

Region 1 (Western Massachusetts)

Region 2 (Central Massachusetts)

Region 3 (Northeastern Massachusetts)

Region 4A (Metro West)

Region 4B (Metro Boston

Region 4C (Boston)

Region 5 (Southeastern Massachusetts)

Other (please specify)

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* 6. In what city or town do you work

Boston

Brookline

Cambridge

Chelsea

Everett

Quincy

Revere

Somerville

Winthrop

Other (please specify)

If you have any questions please contact us at 617-343-1370 or delvalle@bphc.org