Los Angeles Fire Department CERT Unit              Public Training Request Form
Welcome to the Los Angeles Fire Department’s CERT Training and Disaster Awareness Presentation request form.  
To request a CERT Course 25 or more attendees is required. The LAFD CERT Unit does not reserve class locations or venues. Classes and Presentations are held within the CITY of Los Angeles Only.

***Please Note CERT Classes are open to the Public and will be posted to eventbrite when scheduled***

This form is not intended for individuals wishing to register for CERT Classes currently scheduled.
If you would like to register for a CERT Class scheduled near you, please visit:  https://www.eventbrite.com/o/lafd-cert-program-7803155391

Questions or Concerns : lafdcert@lacity.org or 213-202-3136



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Email *
Requesting Party's Contact Information
Please provide the information below so that we may contact you for coordinating course scheduling and Instructor
First Name *
Last Name *
Phone Number *
Reserved Training Location. Please note that the LAFD CERT Unit fully complies with all Fire Code regulations specifically MAX OCCUPANCY limits. Eventbrite Class listings will be limited to the maximum number permitted inside your reserved location/venue
Training Location Address
Please provide the Venue/Class location address that has been reserved. Please note that the LAFD CERT Unit does not reserve venues/locations.
Zip Code
Who is our target audience? Please select one of the following choices that best describes our future CERT Graduates.
Select what best describes the intended group to be trained
Clear selection
Please select an approximate amount of attendees (25 Minimum for CERT Course)
***CLASS SIZE WILL BE LIMITED TO THE CLASS LOCATION /VENUE POSTED MAX OCCUPANCY***
Wifi or Internet Accessible?
Training Requested *
Disaster Preparedness Training can be topic specific based on your needs.
Required
Approximate Date Requesting
Please Note Training and Presentations are scheduled Monday through Friday
MM
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DD
/
YYYY
Approximate Time Requesting
Time
:
Additional Information
How did you hear about LAFD CERT
Clear selection
Submit
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