Training Request Form - EmergaLink | BERT - Building Emergency Response Teams

Requestor Name*
Agency/Department/Company*
Email*
Phone*
Title / Purpose of Class / # of participants*
i.e.: TECC / Medical Training / 20 participants
Requested Facility
Describe the facility to be used
Requested Reservation Date*
Reservation Start Time*
Please use 24-hour or military time
Reservation End Time*
Please use 24-hour or military time.
On Site Responsible Person Name*
Emergency after-hours phone number of that person*
This person is fully responsible for the security of the facility. This number is required information in case the facility needs to be re-secured after group departure.
Important Information