Event Date & Time November 12, 2024 | 1:00 pm - 2:30 pm Location Virtual Please Fill Out the Form Below to Register. Fields marked with an * are required CONTACT INFO Contact Info First Name * Last Name * Email * Phone RESIDENT INFO Resident Info County of Residence Address City Zip EVENT INFORMATION Event Information Check here if you require closed captions during the training session. Are you a mental health professional? No Yes Event Title Registration Date: Check if you are requesting: CEU/MCBAP Credits FEDEX Narcan Kit to you Replacement Kit: Used previous kit issued Replacement Kit: Previous issued kit is expired Comments If you are a human seeing this field, please leave it empty.