Narcan Training Request

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* 1. How many people are you looking to have Narcan trained? (Best estimate)

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* 2. Would you like to have this training in-person or virtual; using Zoom?

In-person

Virtual using Zoom

No preference

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* 3. What day of the week and time is best for you to take the 30 minute Narcan training with a trained facilitator?

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* 4. Please enter your contact info so a trainer can get back to you as soon as possible:

Name

ZIP/Postal Code

Email Address

Phone Number