*1.What is your first name?(Required.)

*2.What is your last name?(Required.)

*3.Please list your phone number.(Required.)

*4.Which class date would you like to attend?(Required.)

November 17, 2026 from 10:00am-11:00am

December 7, 2026 from 3:30pm-4:30pm

December 17, 2026 from 10:00am-11:00am

5.What motivated you to attend this class?

I have personally lived/experienced with opioid use or overdose

I have a family member or loved one affected by substance use

I work/volunteer in a field where this training is useful

I want to be prepared to help others in my community

Other/Just wanting to learn a vital life-saving skill