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A Shot to Live Registration for Completion of Training

Thank you for completing the Shot to Live training for administering epinephrine by auto-injector (EpiPen®, Auvi-Q™, or Adrenaclick®) to a person exhibiting potentially life-threatening symptoms of anaphylaxis. Please retain the written materials entitled: "EpiPen® User Guide & Training Standards" as well as "Auvi-Q™ User Guide or Adrenaclick® User Guide" as references.
 

Register below to document completion of your training. For the State of Utah, Utah Code 26-41-104 stipulates that annual refresher training shall be made available to trainees. Your email address may be used to contact you directly when this training is due and/or for additional research. The Shot to Live program is administered in cooperation with the Utah Department of Health. Your personal information will not be shared with third parties without your permission.

Are you an independent charter school, private school, or from a school district outside of the State of Utah? If so, follow these additional directions to register yourself using the form below:

  1. In the text field labeled "School District," select the last option from the picklist, "Other-please describe."
  2. A new text field appears labeled "Other School District."
  3. Type in your situation, for example:
    a. XYZ District, Reno, Nevada
    b. Private School, Boise, Idaho
    c. Charter School, Alpine, Utah
  4. In the next text field labeled "School," enter the actual name of your School.
All fields are required.
address
School District
Position
Have you completed the Shot to Live training previously?