5/26/26 Community Naloxone Training Registration

Please provide us with the below information to register for the upcoming community naloxone training.

Event details:

Date: May 26, 2026

Time: 6:30-8p

Location: Milwaukie Ledding Library

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1. Name (Required.)

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2. Email (Required.)

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3. Phone number

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4. What best describes your affiliation? (Required.)

Clackamas County Employee

Milwaukie library or city employee or official

Community-based organization

Service Provider

Community member

Other (please specify)

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5. Organization Name (Required.)

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6. What county(s) do you serve? (select all that apply) (Required.)

Clackamas County

Multnomah County

Washington County

Statewide

Other (please specify)

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7. What motivated you to attend this training? (Select all that apply) (Required.)

I know someone at risk of overdose

I work with someone at risk of overdose

I have witnessed an overdose

I want to be prepared in case someone in the community overdoses

I want to learn more about how substance use and overdose are impacting my community.

I want to get connected to resources

Other (please specify)

5/26/26 Community Naloxone Training Registration

Question Title

* 1. Name (Required.)

Question Title

* 2. Email (Required.)

Question Title

* 3. Phone number

Question Title

* 4. What best describes your affiliation? (Required.)

Question Title

* 5. Organization Name (Required.)

Question Title

* 6. What county(s) do you serve? (select all that apply) (Required.)

Question Title

* 7. What motivated you to attend this training? (Select all that apply) (Required.)

1. Name (Required.)

2. Email (Required.)

3. Phone number

4. What best describes your affiliation? (Required.)

5. Organization Name (Required.)

6. What county(s) do you serve? (select all that apply) (Required.)

7. What motivated you to attend this training? (Select all that apply) (Required.)