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2. Snoqualmie Fire Dept. Stop the Bleed + Opioid Education Class

   Fill out and submit this form to reserve space in the FREE upcoming Snoqualmie Fire Dept. Stop the Bleed Class and Opioid Education Class (see dates and times below). Participants must be 14 years of age and older.  Please contact Jessica Rellamas at jrellamas@snoqualmiewa.gov or 425.888.1551 for more information. 

3. 
5. Name*
6. Email Address*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
16. Class Age Requirement *

    **Class participants must be 14+ years of age. Please check the box below to confirm that you meet this age requirement.**

    1. Yes, I am 14+ years old
18. Select the classes you wish to attend. *

    1. Stop the Bleed, Feb. 17, 9:30-10:30 am
    2. Opioid Education, Feb. 17, 10:30-11:30 am
    3. Stop the Bleed, March 17, 9:30-10:30 am
    4. Opioid Education, March 17, 10:30-11:30 am
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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