Naloxone Training Webinar Registration Form

Naloxone Training
Virtual Webinar Registration Form
Time: 9am OR 3pm

Join us for this online one-hour training to learn about the Opioid Epidemic and Naloxone (Narcan), a life-saving tool to reverse opioid overdoses. Attendees who complete this training can receive a certificate of completion and one free Naloxone kit (two doses of Naloxone).
What you'll learn:
✔️ Build knowledge about the Opioid Epidemic and Naloxone (Narcan)
✔️ How to administer Naloxone to reverse opioid overdoses
Webinar Requirements:
- Desktop/Laptop or Mobile Device
- Zoom
- Webcam
- Headset
- Internet Connection
Time & Location

Currently, all scheduled training is held as a virtual webinar. Please select one webinar from the calendar below. You may need to scroll to the next month to see upcoming trainings.
Please Select a Webinar Date*
Please Select One*

Wednesday, July 3rd, 3:00 PM to 4:00 PMWednesday, July 17th, 3:00 PM to 4:00 PMWednesday, August 7th, 3:00 PM to 4:00 PMWednesday, August 21, 3:00 PM to 4:00 PMWednesday, September 4th, 3:00 PM to 4:00 PMTuesday, September 17th, 3:00 PM to 4:00 PMTuesday, October 15th, 3:00 PM to 4:00 PMWednesday, November 6th, 3:00 PM to 4:00 PMTuesday, November 19th, 3:00 PM to 4:00 PM
Birdseye Event - Selected Training
Add Your Details
Name*

First NameLast Name
Phone Number
Email*
example@example.com
Town of Residence*
Town of Employment*
Gender Identity*

MaleFemaleTransgenderNon-Binary/Non-ConformingPrefer not to respond
Age*

12-1415-1718-2021-2424-4445-6465 & Over
Race/Ethnicity*

Asian/Asian American/Pacific IslanderBlack or African AmericanIndigenous American or Alaska NativeLatino/aMixed RaceWhitePrefer not to respond
Which stakeholder group do you identify with?*

Coalition coordinatorStaff of YSB or LPCMental health or substance use treatment agencyYouthParentBusinessSchoolLaw EnforcementHealthcareMediaLocal GovernmentYouth-serving organizationCivic/Volunteer groupFaith-based communityMilitaryRecovery communityOther
If you selected other above, please tell us which stakeholder group you identify with.
Address (Optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to be added to our mailing list? You can unsubscribe later.
Contact Record Type ID
Record Type ID
Should be Empty:

Naloxone Training

Virtual Webinar Registration Form Time: 9am OR 3pm

Time & Location

Add Your Details

Virtual Webinar Registration Form
Time: 9am OR 3pm