Overdose Response Training Regsitration

Which class would you like to attend?(Required)

Additional Information

As part of our substance use/misuse prevention program delivery, we gather information to help us understand who is, and who is not, receiving services. The information you provide will be securely stored, will not be shared with other participants, and will be reported without your name or identifying information (aggregated).

Thank you for filling out the following questions honestly and completely. Only your email address is required to attend the training but your complete answers allow us, and our funders, to demonstrate the importance of prevention services to our community.
How old are you?
What is your gender?

Are you part of the LGBTQ+ community?
What is your race/ethnicity? (select one)

Are you Latino(a)? (select one)