Automated External Defibrillator Loaner Application

Niagara's Automated External Defibrillator Loaner Program can provide a defibrillator up to 72 hours for events.

Eligibility

To be eligible for this program, applicants must:

Ensure there will be an adequately trained person(s) on site during the event
Show a copy of a valid first aid / CPR card and a valid photo ID (such as a driver's licence) when picking up the equipment
Submit an application two weeks before the event

* = Required

Contact Information

* First Name

* Last Name

* Address

* City

* Phone

* Email

* Are you First Aid / CPR Certified? Yes
No

Event Information

* Type of Event

* Event Name

* Expected Attendance

* Start Date

* End Date

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Freedom of Information

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email foi@niagararegion.ca or call 905-980-6000 ext. 3779.

Public Health

Paramedics, Dispatch

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