Bmore POWER Event or Training Request
If you are interested in having BHSB's Bmore POWER team attend your event to share harm reduction resources or facilitate a naloxone training, please fill out the form below.

Someone from the Bmore POWER leadership team will be in touch in 2-3 business days to let you know if we are able to accommodate your request. 

If you are media, please contact Adrienne Breidenstine, BHSB's Vice President, Policy and Communications, at adrienne.breidenstine@bhsbaltimore.org
Organization Name (if applicable)
Contact Name and Title *
Phone number *
Email address *
Do you want Bmore POWER to attend and community event or provide a Naloxone training? *
Name of the Event
Address for the Event
Event Date
MM
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DD
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YYYY
Event Start Time
Time
:
Event End Time
Time
:
Do you want a member of Bmore POWER to speak at the event?
Clear selection
Event Description
Who is your intended audience for this event?
How many people do you expect to attend the event?
Besides our outreach materials, do we need to bring any of the items below? 
Training address
Are you requesting naloxone kits for attendees? If so, how many?
Who is your intended audience for this training?
How many people do you expect to attend the training?
Proposed Training Date
MM
/
DD
/
YYYY
Proposed Training Time
Time
:
If you have a different kind of request for the Bmore POWER team, please share the details below for the team's consideration.
Submit
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