Free Narcan Training RSVP Form (Fall 2025)

RSVP Form

Please RSVP to receive an extra special gift from the Basic Needs Center on the day of your training! Multiple Fall 2025 dates available below.
Full Name*

First NameLast Name
E-mail*
This will be our primary method of communication.
Which training date would you like to attend? (Note: all sessions are on Tuesdays and take place at San Joaquin Delta College)*

--Oct 7 (12pm - 1:30pm) Location: Basic Needs Center, Danner 202Oct 28 (5:30pm - 7 pm) Location: Tony Fitch Forum 103Nov 4 (12pm - 1:30 pm) Location: Basic Needs Center, Danner 202Nov 25 (5:30pm - 7 pm) Location: Tony Fitch Forum 103Dec 2 (12pm - 1:30pm) Location: Basic Needs Center, Danner 202
Are you a:*

StudentFaculty/StaffCommunity MemberVolunteerOther
How did you hear about this training?*

FlyerTabling eventEmailWord of mouthSocial media - SJDCSocial media - Native CORECampus websiteOther
Please check all of the ethnicity, nationality, and ancestry groups you identify with:*

AsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhiteAmerican Indian or Alaska NativeHispanic or LatinxMiddle Eastern or North AfricanDecline to state
Anything you want to add?
Should be Empty: