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Defibrillator Loan Scheme
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Automated External Defibrillators (AED's)
CPR/Defibrillation Training
Basic CPR/AED training Sign Up Form
Public Access Defibrillator Online Application Form
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Public Access Defibrillator Online Application Form
PUBLIC ACCESS DEFIBRILLATOR ONLINE APPLICATION FORM
Name of Sports Club
Address of Sports Club
Your Name
Email
Phone Number
How many people use the sports club each week?
Is the site accessible to members of the public 24/7?
Yes
No
Please explain why you feel your club/site would be a good venue for a public access defibrillator (PAD)?
Do you have somebody at the club who could complete a monthly online check of the PAD?
Yes
No
We offer free basic CPR and defibrillator training to all venues that we provide a PAD to. Is this something your club would be interested in?
Yes
No
If your application was successful, do you think you could run any form of fundraising events in the future to help us continue our work - Please explain?
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