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Disaster Preparedness Training Registration

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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: (required)
Phone: (required)
Address: (required)
E-mail: (required)
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: $30.00 - 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.