All questions marked by an asterisk are required
Event Name:
Disaster Relief Training 2018, Phase 1 and 2 - Shelbyville

 

All volunteers MUST be 18 years old and a regular attendee of a Southern Baptist Church

 

 Yes 
 No 
 Yes, I am a regular attendee of a Southern Baptist Church 
 No, I am not a regular attendee of a Southern Baptist Church 

 

If you answered "NO" to either of the above questions, please DO NOT continue this registration

 

Questions?  Contact Disaster Relief at dr@kybaptist.org or 502/489-3527

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 Phase 1 Training (For new volunteers - please also select one of the courses listed below)  - $40.00
 Phase 2 Training Recertification (For returning volunteers - please also select one of the courses listed below.)  - $20.00
 Phase 2 Training - Additional Training (For volunteers with a current certification who are seeking additional training - please also select one of the courses listed below.)  - $0.00
 Assessment 
 Basic CPR 
 Chainsaw Safety/Roof Tarping 
 Child Care 
 Communications 
 Evangelism in Crisis 
 First Aid 
 Flood Relief/Ash Out 
 Safe Food 
 Water Purification 
 I am a Phase 1 volunteer, and I am unable to attend afternoon training. 
 Pay at Training (Check or Cash Only)
 Credit Card
  {Checking this option will save your information for future registrations}