Home Services Community Emergency Response Team (CERT) CERT Registration CERT Registration Edit Form Register for the CERT Tier 1 training below. Please fill out the information below. The fields with the * are a required field. A member of our CERT team will you contact regarding your registration. First Name* Last Name* Address 1* Address 2 City* State* Zip* Date of Birth* Cell Phone# Home Phone# Work Phone# Email Address* Occupation* Emergency Contact Name* Emergency Contact Phone #* How did you hear about the CERT training program? Comments