Cambria County Smoking Cessation Class at Cambria County Library Sign Up

Classes will be held on the following dates from 4:00-5:00pm at the Cambria County Library in Downtown Johnstown (248 Main St): 10/5, 10/12, 10/19, 10/26, 11/2, 11/9, and 12/7. For more information, contact Naomi Paluch at naomi.paluch@drugcoalition.org.

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* 1. First and Last Name

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* 2. Email Address

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* 3. Phone Number

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* 4. What is the best way to contact you? (Make sure your email or phone number is completed above)

Phone

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* 5. Do you live in Cambria County?

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* 6. What area of Cambria County do you live in?

Johnstown

Ebensburg

Patton

Northern Cambria

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* 7. What type of nicotine do you use? (mark all that apply)

I use cigarettes

I use smokeless tobacco

I use e-cigarettes (vapes)

Other (please specify)

Cambria County Smoking Cessation Class at Cambria County Library Sign Up

Question Title

* 1. First and Last Name

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* 2. Email Address

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* 3. Phone Number

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* 4. What is the best way to contact you? (Make sure your email or phone number is completed above)

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* 5. Do you live in Cambria County?

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* 6. What area of Cambria County do you live in?

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* 7. What type of nicotine do you use? (mark all that apply)

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* 8. Are there any accommodations you need to be able to participate in this class?