First Name / Nombre*

Last Name / Apellido*

Phone / Número de teléfono*

Email Address / Dirección de correo electrónico*

Street Number / Número de casa*

Street Name / Nombre de La calle*

City / Ciudad*

State / Estado*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code / Código postal*

Neighborhood of Richmond in which you live. Please select from drop down list below.

Barrio de Richmond en el que vives. Seleccione de la lista desplegable a continuación.*

Not Sure Atchison Village Belding Woods Brickyard Cove Homeowners Association #1 Brickyard Cove Homeowners Association #2 Brickyard Landing Homeowners Association Carriage Hills North Homeowners Association Carriage Hills South Homeowners Association Civic Center Improvement Association Coronado Cortez/Stege Countryside Downtown Association of Richmond Eastshore El Sobrante Hills Fairmede Hilltop Greenbriar Green Ridge Heights Hasford Heights Hilltop/Bayview Hilltop Green Homeowners Association Hilltop Village Homeowners Association Iron Triangle Laurel Park Marina Bay May Valley North & East Panhandle Annex Parchester Village Park Plaza Parkview Point Richmond Pullman Quail Hill Richmond Annex Richmond Heights Richmore Village Santa Fe Shields-Reid SW Richmond Annex Not Applicable

REACT/CERT Training consists of 8 evening classes and a final drill. Each evening class is from 6:00 pm - 9:00 pm. Classes will be held at the the Richmond Fire Training Center, 3506 Cutting Blvd., Richmond, CA 94804.
The final drill is Saturday, October 26, 2019 (all day).

La capacitación REACT / CERT consta de 10 clases nocturnas y un simulacro final. Cada clase es de 6:00 p.m. a 9:00 p.m. Las clases se llevarán a cabo en el Richmond Fire Training Center, 3506 Cutting Blvd., Richmond, CA 94804.
La capacitación en español se llevará a cabo los miércoles por la noche, del 28 de agosto al 23 de octubre. El simulacro final es el sábado 26 de octubre de 2019 (todo el día)

Which class would you like to register for? / ¿Para qué clase te gustaría registrarte?

Espanol, agosto 28, set. 4,11,18,25, oct. 2,8,9,16,23

Do you have any special requests or need any special accommodations?

¿Tiene alguna solicitud especial o necesita algún alojamiento especial?*

No

Yes / Sí

If yes, please explain.