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Disaster Training Classes Pre-Registration Form

Note: Attendance at an orientation is required prior to registering for a disaster training class.

So that we can have sufficient training materials, it is necessary to register at least one week prior to the class. There is no charge for any of these classes, but you must pre-register. Classes will be held at the American Red Cross of the Greater Lehigh Valley, 2200 Avenue A, Bethlehem.

Name:          
Address:      
City:            
State:          
ZIP Code:     
Day Phone:  
Evening Phone:  
Email Address:  

Class you are registering for:  
Date of class:  

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