Training Registration Form
Name:
Address:
City:
State
Zip
Phone (Home):
Phone (Work):
Phone (Mobile):
Email:
District:
- Not Applicable -
Burlington
Elizabeth City
Fayetteville
Goldsboro
New Bern
Raleigh
Rockingham
Rocky Mount
Sanford
Wilmington
Greenville
Durham
Church:
Preferred Session:
January 22, 2012-BASIC ERT - First UMC Siler City, NC
February 18, 2012- Basic Team Leader Training-Meth Bldg-Garner, NC
May 19, 2012- Basic Team Leader Training-Meth Bldg-Garner, NC
August 18, 2012- Basic Team Leader Training-Meth Bldg-Garner, NC
November 17, 2012- Basic Team Leader Training-Meth Bldg-Garner, NC
Comments: