CFR Registration Form

Please complete this form to register the location of a defibrillator with the free St John Community First Responder program.

Organisation

Location

(Physical address - if there is no street number, please provide the nearest cross street/s)

Key Contact Information

Liaison Person 1

(A contact for administration matters only)

Liaison Person 2

(A contact for administration matters only)

Public Usage

If you have any queries about completing this form please contact the St John Community First Responder team on (08) 9334 1418.