Naloxone Training Registration t’útenamtsut xwínilh s7i’xi Medication Instead of Shame
Thank you for your interest in our Naloxone Training. Please email wellness@squamish.net or call 604-982-7835 if you have any questions or have trouble accessing the form.
Full Legal Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I'd like to sign up for the following training (North Shore):
Wednesday February 25th, 2026// 1:30PM-3:30PM// CJMC Eslha7an Room
Wednesday March 18th, 2026// 1:30PM-3:30PM// CJMC Eslha7an Room
Wednesday April 29th, 2026// 1:30PM-3:30PM// CJMC Eslha7an Room
I'm interested in a training in the Squamish Valley (Please note that currently trainings are on pause in Squamish Valley. As such, if you select yes, a team member will be in touch with you about future dates).
Yes
No
I'd like to sign up for the following Training
NORTH SHORE: First Wednesday of every month 1:30-2:30pm
SQUAMISH VALLEY: Tuesday, April 1, 2-3:30pm
I understand that the scheduled time for this training is 1:30pm-2:30pm
*
Yes
No. I am interested in an after work training at 5:30-6:30pm, and understand that Community Health & Wellness will be in touch with potential dates for training at this time.
Please indicate which time you would like to sign up for
*
1:30PM-2:30PM
5:30PM-6:30PM
Squamish Nation Status Number (if applicable)
If you are Squamish Nation Staff please indicate your department (if applicable)
Are you a Squamish Nation Designated First Aid Attendant (DFAA)?
Yes
No
I understand that photos will be taken during this workshop, and that I am consenting to my photo being taken by selecting the "I consent" option. I also understand that the photos may be used in a variety of promotional materials, including, but not limited to: annual reports, social networking sites, and other print and digital communications.
*
I consent
I do not consent
Submit
Should be Empty: