City of Aliso Viejo

Fill out this form to be added to the interest list for the next CERT Academy. You will receive an e-mail when the city is taking registrations.

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* 1. First name:

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* 2. Last name:

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* 3. E-mail address:

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* 4. Aliso Viejo address (home or work). Priority is given to those who live or work in Aliso Viejo.

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* 5. Phone number:

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* 6. I am:

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* 7. I understand that I must attend all 8 classes to receive my certificate of completion and there are no make up classes offered.

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