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Breathe Sign-In Sheet Submission 2025-2027

After you complete a Breathe training/presentation, please input the training details below and upload your sign-in sheet, if applicable.

We will send you your pre and post assessment reports to you once all the data has been submitted.

Reach out to tanyas@healthedpros.org if you need assistance.
1.Name of the trainer submitting the sign-in sheet.(Required.)
2.Email:(Required.)
3.Name and Emails of Additional Trainers:
4.Date of Breathe Training:(Required.)
Date
5.Name of organization trained:(Required.)
6.Counties trained:(Required.)
7.Training conducted:(Required.)
8.Format of the training:(Required.)
9.How many people attended your Breathe Training? (this number may not match the number of training participants on the sign-in sheet if not everyone signed in, but this is the number we will use for reporting)(Required.)
Please submit your sign-in sheet below. The sign-in sheet template can be found here on the Breathe Website under Breathe Presentation Resources. Please BOLD yes or no text to indicate if the staff member would like to be signed up for the Breathe Newsletter.
Reminder: sign-in sheets submitted must use the designated Breathe sign-in sheet and should not be handwritten/scanned...must be an editable Word document, NOT a PDF. (Sign-in sheets are not required for Breathe Teasers or Parent/Community Presentations)
10.Upload sign in sheet below:
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11.Is there anything else you need to tell us about this Breathe training?