Memphis Conference Early Response Team (ERT) Training Class

Contact information - Please include your middle initial with your first name.
*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Phone
*Email
*Church Name
*Church District
*Conference
*Have you been certified?
Yes
No
Expiration Date

If you have been certified, what is the expiration date?

*Registration Fee: $20 Re-certification or $30 for full class
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