Sign Up for CERT

Please complete and submit the form below. If you encounter any trouble with the form and would like to speak to someone, please send an email to cert@baltimorecity.gov or call (410) 396-6188 and ask to speak with someone about signing up for a CERT course.

First Name *

Last Name *

Birth Date *

Month

Day

Year

Must be at least 18 years old

Address *

City *

State *

Zip Code *

Home Phone *

Enter 10-digit phone number without dashes or spaces

Cell Phone

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Work Phone

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Email Address *

Preferred Method of Contact *

Comments

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Sign Up for CERT