Page 1 of 4

CERT Support Request

Requests for Navarre CERT support at community events should be submitted at least ONE MONTH before the event. Items marked with an asterisk (*) and in BOLD are required entries. Any additional information for your event must be provided at least five (5) days in advance of the event start date. You can send the information via email to info@navarrecert.org, or via the USPS to Navarre CERT, 8688 Navarre Parkway, #362, Navarre, FL 32566.
Note that this is a multi-page form, so make sure you have filled out all of the REQUIRED items before submitting.

General Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Contact Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Please choose a preferred contact method

Event Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Additional Event Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input