May 4, 2018 Shawn Currie Online Registration 1 Organization Information2 Inspector Information3 Responder Information4 AED Information Organization Name:* Description:*-- Please Select --Public BuildingResidentialTransportation RelatedRecreationMedical FacilitiesMobile UnitPublic Building Type:*Adult Day CareBusiness/Industrial Place and PremiseConvention CenterCorrection FacilityCourthouseGovernment AdministrationHotel/MotelPlace of WorshipPublic non-governmentRestaurant/BarRetail Store (enclosed mall)Retail Store (not in enclosed mall)School/Educational FacilityMuseumLibraryCommunity CenterSenior CenterPolice StationFire StationOtherResidential Type:*CondominiumRetirement HomeSenior LivingSingle Family HouseOtherTransportation Related Type:*AirportBus StationPublic TransportationStreet/HighwayTrain StationOtherRecreation Type:*Amusement ParkCampCommunity PoolGolf CourseHealth ClubParkPublic BeachRacecourse/RacetrackRecreation CenterStadium/ArenaTheatre/CinemaMunicipal PoolMuseumOtherMedical Facilities Type:*Dialysis CenterPhysician or Dentist OfficeRehab Facility (Outpatient)Skilled Nursing FacilityUrgent Care FacilityOtherMobile Unit Type:*First ResponderLaw Enforcement Officer VehiclesEmergency Roadside AssistanceOtherAddress:*Address #2:City:*Postal Code:*Main Office Phone Number:*Main Office Fax Number: Inspector Information Inspector Name: Inspector Job Type: Inspector Email Address: Inspector Phone Number: Inspector Id Edit Delete There are no Inspectors. Add Inspector Responder Information Responder Name: Notification Type: Phone Number for Voice Calls: Phone Number for Text Messages: Responder Email Address: CPR/AED Training Organization: CPR/AED Certification Expiry Date: Notes: Responder Id Edit Delete There are no Responders. Add Responder AED Information Assigned AED Id: AED Site Address: AED Inspector: AED Responders Edit Delete There are no AEDs. Add AED Unique IDAre you an AED Inspector?If you are an Inspector, you can agree to the terms and conditions before submitting this AED Registration.YesNoInspector Name:-- Please Select --Terms and Conditions and Release of Liability Agreement(For use by residents of the province of Nova Scotia)Thank you for your interest and consideration in becoming part of the EHS AED Registry Program. Please carefully read this Agreement. By checking the box below, you acknowledge that you have read this Agreement and agree to be bound by the terms and conditions of this Agreement. If you do not agree to these terms and conditions, do not use or continue to use the Registry. En-Pro Management, Inc. (“En-Pro”) is an authorized user of the AED Link™ system and operates the National AED Registry (the “Registry”). EMC Emergency Medical Care Inc. (“EMC”) is the Emergency Health Services (“EHS”) operator in the province of Nova Scotia and is charged with the program management oversight of the Registry under the program brand of EHS AED Registry in the province of Nova Scotia. The Registry is an online information system intended to help link automated external defibrillators ("AEDs"), AED users and sudden cardiac arrest victims, and to help AED owners manage and track data and information concerning their AEDs. Through its AED Link™ product, En-Pro endeavors to provide EHS Medical Communication Centre (‘MCC’) access to information regarding the location of AEDs stored in the Registry. They also endeavor to provide cardiac arrest locations to AED responders who have signed up with the system. Through the Registry, En-Pro endeavors to notify designated AED inspectors via email of the expiration date of batteries and electrodes based on the information submitted by the AED site manager or AED inspector. Whether or not an AED inspector acts on the notifications received is entirely within the discretion of the inspector. 1. Enrollment You may enroll as an AED inspector or a volunteer responder. If you are enrolling on behalf of an entity, you represent that you are authorized to accept these terms on behalf of the entity. Further, if you enroll as an AED inspector, you represent that you own or are an authorized agent of the owner of the AEDs you register or have the right to provide information regarding the AEDs that you register ("Registered AEDs"). You confirm that you are eighteen (18) years of age or older and that you will submit all required enrollment information, and that all such information is to the best of your knowledge accurate and complete. 2. Permitted Use The EHS AED Registry Coordinator will be classified as the ‘Site Manager’ and will be in charge of initially entering in your AED information. If you are an AED inspector with a valid password, then, provided you comply with the terms and conditions of this Agreement, you are authorized to access and use the web pages assigned to your AED inspectors account to receive AED maintenance messages and record the results of AED inspections and maintenance tasks. You grant to each EMC, EHS, and En-Pro the right to use the information you have provided or will provide under this Agreement for the purposes of the AED Link™ system, the Registry and, if permission to include your registered AED(s) in the publically accessible interactive map or phone application (the "Interactive Map") is given, to use the location name, street address, city, province and/or postal code you have provided for the purposes of the Interactive Map. 3. Privacy En-Pro is a Louisiana corporation and holds its information technology servers in the U.S.A. You, the inspector and/or responder, agree that your personal information is being provided by EMC to En-Pro to be stored in the U.S.A. on En-Pro servers and that such information will be used for the purpose of linking AEDs, responders, and cardiac arrest victims through the En-Pro AED Link™ system. 4. Your Materials You agree that any data and information, including but not limited to, enrollment information (e.g., the location of the Registered AEDs and names and telephone numbers of your AED inspectors and responders) will be used by En-Pro as per their own terms and conditions agreed upon on their Registry website. You are granting En-Pro and the EHS Medical Communication Centre (“MCC”) the right to use your AED location data in conjunction with En-Pro’ AED Link™ service in the province of Nova Scotia. All data related to the AED within a radius of a suspected cardiac event called into 9-1-1 will be transferred to the EHS MCC. That information will be based on the designation of “Public” or “Private” and based on the dates and times of availability as registered for each specific AED. 5. Terms and Termination The term of this Agreement will commence upon your completion of the enrollment process as indicated by your acceptance of this Agreement and will continue until terminated. 6. Responders En-Pro’ AED Link™ system can auto-notify individuals who are willing to use their assigned AED not only at their location, but also at sites nearby (generally within 1,200 feet). This is a voluntary process. As an AED site in the Registry, you have the option to enter into each AED’s information page the person or persons who are trained in CPR/AED, their contact phone numbers, their training organization and the expiration date of their certification, if any. The method of contact choices are up to the responders and include not to be contacted at all. By signing this Agreement, you are confirming that each responder is a volunteer, no responder is paid to respond to an alert, and that each responder has been properly trained in the use of your AED and has been instructed, and they have agreed, to respond in a way that will not cause harm to themselves or others. Furthermore, the undersigned agrees to hold EMC harmless for any action taken by these responders should a responder not take the necessary precautions when responding to an alert. Auto-notifications may also contain personal addresses which you agree to keep confidential as well as any other information that you gather during a potential rescue scenario. 7. Limitations of Liability YOU AGREE THAT EMC, EHS AND EN-PRO WILL HAVE NO LIABILITY FOR ANY INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES (INCLUDING, WITHOUT LIMITATION, LOSS OF PROFIT, REVENUE AND USE) ARISING OUT OF OR IN ANY WAY CONNECTED WITH THIS AGREEMENT, THE REGISTRY OR THE MATERIALS, WHETHER IN CONTRACT, WARRANTY, TORT (INCLUDING NEGLIGENCE, WHETHER ACTIVE, PASSIVE OR IMPUTED), PRODUCT LIABILITY, STRICT LIABILITY OR ANY OTHER THEORY OF LIABILITY, EVEN IF EMC, EHS OR EN-PRO HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. THE TOTAL LIABILITY OF EMC, EHS OR EN-PRO AND EACH OF THEIR AFFILIATES FOR ANY REASON AND UPON ANY CAUSE OF ACTION WILL BE LIMITED TO ONE HUNDRED DOLLARS ($100). THIS LIMITATION APPLIES TO ALL CAUSES OF ACTION IN THE AGGREGATE, INCLUDING, BUT NOT LIMITED TO, BREACH OF CONTRACT, BREACH OF WARRANTY, NEGLIGENCE, PRODUCT LIABILITY, STRICT LIABILITY, MISREPRESENTATION, AND OTHER TORTS. IF YOU ARE DISSATISFIED WITH THE REGISTRY OR WITH ANY APPLICABLE TERM OR CONDITION GOVERNING ITS USE, YOUR SOLE AND EXCLUSIVE REMEDY IS TO TERMINATE THIS AGREEMENT. 8. Indemnification You agree to indemnify, defend and hold harmless EMC, EHS and En-Pro and their respective employees, officers, directors, agents and representatives that use information contained in the Registry from and against any and all claims, suits, actions, demands or proceedings (whether threatened, asserted, or filed) and all related damages, losses, liabilities, costs and expenses (including, but not limited to, reasonable attorneys' fees and the cost of enforcement of this indemnity) arising out of or relating to any violation or breach by you of any term of this Agreement. 9. Compliance with Laws In the performance of this Agreement, you will comply with all applicable laws, regulations, rules, orders and other requirements, now or hereafter in effect, of any governmental authority having jurisdiction, including, without limitation, Good Samaritan laws applicable to AED owners. 10. Governing Law This Agreement is governed by the laws of the province of Nova Scotia. I agree to the Terms and Conditions and Release of Liability Agreement AED Inspector-Name Inspector-EmailAED Responders-Names Responders-EmailsAED DetailsInspector Who Agreed to Terms Inspector Name:* Inspector Job Type:Inspector Email Address:* Email Address: Confirm Email Address: Inspector Phone Number:*Inspector Id This iframe contains the logic required to handle Ajax powered Gravity Forms. Copy Inspector Information?If you are both an Inspector and Responder, you can copy some of your Inspector information over.YesNoInspector to Copy:-- Please Select --Responder Name:* Notification Type:*VoiceTextBothPhone Number for Voice Calls:*Phone Number for Text Messages:*Responder Email Address:* Email Address: Confirm Email Address: CPR/AED Training Organization:CPR/AED Certification Expiry Date: Notes:Responder Id This iframe contains the logic required to handle Ajax powered Gravity Forms. Assigned AED Id:Is the AED site address the same as the organization address?YesNoAED Site Address:* AED Site Address #2:City:*Postal Code:*Would you like to include this AED on an interactive map or phone application accessible to the public?*YesNoAt present, the publicly accessible web-based interactive map and/or phone application (the "Interactive Map") functionality is under development by Nova Scotia Information, Communications, and Technology Services. Details of the Interactive Map and its functionality will be made available on our website, www.savelivesns.ca, when the systems are available for beta testing and launch. The information available on the Interactive map will be limited to: the location name, street address, city, province and postal code.AED Inspector:*-- Please Select --AED Responder(s): First Choice AED RespondersFirst ChoiceAED Access:*PublicPrivateYour AED can still be identified as publicly accessible even if the rescuer needs to go through a staff or security member to get it. The more people involved, the better chance of survival for that patient.AED Availablity:*Manufacturer/Make:*AED Model:*Serial Number:*First Installation Date: Battery Model:Battery Expiry Date:* Placement Details:*Primary Pads:Primary Pads Type:*AdultPediatricPrimary Pads Expiry Date:* Spare Pads:Spare Pads #1 Type:AdultPediatricSpare Pads #1 Expiry Date: Spare Pads #2 Type:AdultPediatricSpare Pads #2 Expiry Date: Spare Pads #3 Type:AdultPediatricSpare Pads #3 Expiry Date: This iframe contains the logic required to handle Ajax powered Gravity Forms.