Complete Waiver

4 Minute Community

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CARE Team Member Agreement

Contact Information

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Last Name*

Street Address*

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Email Address*

Primary Contact Phone Number (Cell Phone Preferred)*

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Device Maintenance and Return Policy

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Introduction: This policy outlines the guidelines and expectations for individuals who are accepting an Avive AED device, hereby referred to as the "CARE Team Member," with the understanding that they are responsible for its maintenance and timely return when requested. This policy applies to the Avive AED provided by The Peyton Walker Foundation as part of the 4 Minute Community program.

Please initial below to acknowledge the above statement.*

Device Acceptance: Upon acceptance of the device, the CARE Team Member acknowledges and agrees to adhere to the terms and conditions set forth in this policy. The CARE Team Member is responsible for reviewing and understanding this policy before accepting the device.

Please initial below to acknowledge the above statement.*

Maintenance Responsibilities:

a. Care and Handling: The CARE Team Member is expected to handle the device with care, avoiding any intentional or negligent actions that could result in damage or loss.

b. Protection from Physical Harm: The CARE Team Member should ensure that the device is protected from physical harm, including but not limited to drops, spills, and exposure to extreme temperatures.

Please initial below to acknowledge the above statements.*

Return of the Device:

a. Prompt Return: The CARE Team Member agrees to return the device promptly upon request from the organization, whether it is for maintenance, upgrades, repairs, or at the end of the designated usage period. Devices will be returned to The Peyton Walker Foundation, located at 2929 Gettysburg Road, Suite 8, Camp Hill, PA 17011.

Please initial below to acknowledge the above statement.*

Loss, Theft, or Damage:

a. Reporting: In the event of loss, theft, or damage to the device, the CARE Team Member must promptly report the incident to the organization by emailing info@peytonwalker.org.

b. Liability: The CARE Team Member acknowledges that they may be liable for the costs associated with repairing or replacing the device due to negligence, damage, loss, or theft.

Please initial below to acknowledge the above statement.*

Termination or Transfer: In the event that a CARE Team Member's affiliation with the 4 Minute Community Program ends, whether due to relocation, transfer, or other reasons, the CARE Team Member must return the device immediately to The Peyton Walker Foundation, located at 2929 Gettysburg Road, Suite 8, Camp Hill, PA 17011.

Please initial below to acknowledge the above statement.*

Complete Waiver

4 Minute Community

Contact Information

Device Maintenance and Return Policy

Agreement of Terms