Virtual Narcan Training Sign-Up Form

Participants who complete the training and surveys will receive a certificate of completion and directions on how to receive a FREE Narcan Overdose kit (with 2 FREE doses of Narcan nasal spray that reverses opioid overdoses) from The Youth Connection.
Please compete the form below to register.

If you have any questions or concerns, please send an email to Jeff Griffith at JGriffith@theyouthconnection.org.
1.First Name(Required.)
2.Last Name(Required.)
3.Agency/Organization
4.Phone Number(Required.)
5.Email Address(Required.)
NOTE: Once you've registered you will receive a short survey to complete. Once you've submitted your completed survey your registration for that class will be confirmed. You must complete the survey to complete registration.