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2. 
3. Online AED Registration Form
   The City of Fredericksburg has initiated a program called F.I.R.S.T. (Fredericksburg Immediate Response Saving Texans). LCRA funding of $24,000 was used to begin this program. As part of this program, the Emergency Medical Services Department has started collecting data regarding the locations of Automatic External Defibrillators (AEDs) in Fredericksburg and throughout Gillespie County. All publicly placed Automatic External Defibrillators should be on record with the local Emergency Medical Services Department with the City of Fredericksburg. This form should be used to notify Emergency Services of a new AED or a change in location of an existing AED. Any questions regarding AED or CPR training should be directed to the City of Fredericksburg EMS Department at (830)990-2055.
5. Organization / Business Name*
7. Contact First Name*
8. Last Name*
9. Phone Number*
11. Mailing Address*
13. City*
14. State*
15. Zip Code*
19. AED Information
21. Address where AED is PHYSICALLY LOCATED*
23. SPECIFIC LOCATION of AED within the building*
25. Date of AED Installation*
    Date of AED Installation
26. AED Manufacturer*
28. AED Model Number*
29. AED Serial Number*
33. CPR/AED Training
35. Would you like more information regarding CPR/AED Certification training?

    1. Yes

    1. No
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37. 1. Receive an email copy of this form.
38. Email address

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39. Submit

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