Online NARCAN Training Registration Form

New Paltz Online NARCAN Training Registration Form

This registration is for our first web-based zoom Narcan training being held on Friday, October 23rd at 1:00 PM. We will be scheduling additional sessions to our online training schedule in the near future. This training is for residents of the following counties within the Mid-Hudson Region of New York State: Ulster County, Dutchess County, Orange County, and Sullivan County.
Name *

First Name Last Name
Email Address (A zoom link will be sent to this email address 24 hours prior to the training) *
County *
Physical Address (No PO Box) *
City
Phone Number
Would you like a Narcan kit? *

Yes No
Would you agree to have Narcan delivered to your home after the training is complete (following COVID-19 guidelines) *

Yes No Not Applicable
If not, please choose a pick up site
Would you like to learn more about Harm Reduction supplies available? (ie. fentanyl test strips, safe use kits, safe sex kits, linkage to syringe access programs)

Yes No
Next Steps: An email reminder notice will follow providing the date and time of the training, and a link to access it. Please expect this link 24 hours prior to the training.
Should be Empty:

New Paltz Online NARCAN Training Registration Form