Naloxone (Narcan) Training Enrollment Form

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Thank you for registering for an upcoming Nalxone (Narcan) Training hosted by BRiDGES and the Central Region Addiction Resource Center.

For more information about BRiDGES, visit bridgescouncil.org. For more information about the Central Region Addiction Resource Center, visit cr-arc.org.

After you register, you will receive a link to the Zoom meeting the day before your desired training date!

*Please note, if none of these dates or times work for you, you can email Lauren at lauren.p.davie@gmail.com to schedule a date and time that works with your schedule.

Thank you,
Lauren

First Name *

Last Name *

Email Address (Please Confirm Prior to Submitting) *

Zip Code of Primary Residence

Training Date *

Which group best describes you? Please pick the one that best describes your reason for being trained.

Law Enforcement Personnel

Firefighting Personnel

Emergency Medical Staff (EMS)

School Personnel

Library Staff

Staff or Patron of Commercial Setting

Corrections Staff from State Prison or Local Jail

Other

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Have you ever been trained to utilize Naloxone (Narcan) in the past to reverse an opioid overdose?

Yes

Clear selection

Prior to attending the training, how comfortable are you responding to a possible opioid overdose?

Not comfortable at all.

Know the five steps and can administer Naloxone confidently.

Clear selection

Submit

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