Teen CERT Registration  2/3 & 2/10, 2020

Please answer the following questions to confirm your enrollment to attend Slaughter Community Charter School's Teen Community Emergency Response Team (CERT) Training. This information will be used for documentation of those participating in the training and in the generation of completion certificates.

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* 1. Name (First and Last)

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* 2. Age

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* 3. Grade Enrolled

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* 4. Phone Number

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* 5. Parent/Guardian Name

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* 6. Parent/Guardian Phone Number

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* 7. Home Address

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* 8. Email Address

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* 9. Please list any/all additional CERT trainings or related certifications received

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