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RCLS/CHA Registration Form

REGISTRATION FORM 

 

                                  

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Instructions: Please fill out the entire sections.  Upload the respective documentation require as per each academy. 
* Indicates a required field
SECTION I: General Information
SECTION II: Emergency Contact Information
SECTION III: Upload your required documents
SECTION IV: Certification
SECTION I: General Information
*  John Doe
*
*
*  SER-PR-000
*
*  555-555-5555
*  john.doe@prwg.cap.gov
*
*
*
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