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Disaster Preparedness Training Registration Form:

Please fill out and submit the below form in its entirety and we will get back to you shortly. If you would like to register by phone, please call 740-732-6700.

Location of Training:
Date of Training:
Levels:
 Level 1    Level 2    Levels 1 & 2
                      You must complete Level 1 before signing up for Level 2.
Name:
Phone:
Address:
E-mail:
Church/
Organization:
Org. Phone:
 
Describe any involvement you have had with disaster response:
 
Training Includes:
T-Shirt (size:)
ID Card
ID Badge
Participation Certificate
Preparedness Manual
Refreshments Provided
 

Fee: $25.00 - Scholarships available

Please send check or money order to:
Lutheran Social Services
810 Main Street
Caldwell, OH 43724

Click here to pay online.

For more information, please call (740)732-6700.

  
     
 
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Lutheran Social Services of Central Ohio is a United Way agency and a member of Lutheran Services in America
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