Racing Heart AED Lending Application
Since September 2012, we have increased the heart safety of over 220,000 athletes with our AED lending program by providing life saving heart defibrillators to high risk community events! (coming soon, application to apply for an AED for your event!)

About our Racing Hearts AED lending program:

* We will deliver AEDs to your site (We currently have 4 to lend).
* We carry insurance and our AEDs are registered (per CA law).
* We ensure our AEDs are ready to be use (We document our quarterly checks, per CA law).

Each AED comes with a carrying case, adult and youth pads, youth key and response kit.

In the event that an athlete or community member has a Sudden Cardiac Arrest (SCA) and our Racing Hearts AED device is used, Racing Hearts will complete all necessary updated as required by law (aka Medical Director will review the data from the device and we will send information to the county). Racing Hearts will also purchase a new battery and pads, thus there is no cost associated to the Race Director and event with our AED lending program.

Although there is no cost associated with out AED lending program, we do request a small meaningful donation for our AED lending service to you.
Event Date: *
We will make arrangements to deliver the AEDs at least 2-3 days prior to your event.
Organization Requesting AED: *
Your answer
Name of the Event: *
Your answer
How many people will be attending your event? *
Your answer
Location of your Event *
Your answer
Address: *
Where the AEDs will be dropped off and picked up.
Your answer
Contact Person: *
Your answer
Phone Number: *
Your answer
Cell Phone Number: *
Your answer
Email: *
Your answer
How many AEDs are you requesting? *
We very much appreciate your support towards our mission. Please let our team know if you are able to provide our 501(c)3 nonprofit with a meaningful donation. Our team will provide you with a tax receipt.
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