Citizen Responder Program - Community Involvement Form
Tell us how you want to get involved!
I'd like to (please select all that apply)
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Host an event for my community to learn about the Citizen Responder Program
Host an event for my community to learn Hands-only CPR
Volunteer to teach Hands-only CPR in my community
I'd like information about aquiring an AED or a public-access AED enclosure
Register an AED I did not see listed in PulsePoint
Purchase an AED
Sign up for Metro Fire's newsletter
Name
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First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Submit
Should be Empty: