Monday Lunch Time Narcan Training Registration
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
How did you hear about the training?
Flyer in the community
Kenosha County Opioid Task Force
Kenosha News
Kenosha County website
Social media
If other, please specify to help us improve marketing:
What training would you like to attend?
January 20th @ 12:15pm
February 17th @ 12:15pm
March 16th @ 12:15pm
April 20th @ 12:15pm
May 18th @ 12:15pm
June 15th @ 12:15pm
July 20th @ 12:15pm
August 17th @ 12:15pm
September 21st @ 12:15pm
October 19th @ 12:15pm
November 16th @ 12:15pm
December 21st @ 12:15pm
Submit
Should be Empty: