Early Response Team Recertification Request Form

This form is for ERT members who have participated on an ERT mission and who wish to recertify without taking the formal training again. 

ERT members who have not participated on an ERT mission and wish to recertify must go through the formal training.

Contact Eugene Hileman if you have questions.

phone: 210-557-8698

email: aehileman@riotexas.org  

Name *
Name
Please provide a direct phone number to reach you.
Home Address *
Home Address
Please provide your place of residency.
Please provide the congregation you belong to.
Adult T-Shirt Size *
After the background check has been completed, a badge and T-shirt will be forwarded to you.

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