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?
Other:
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
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