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Crawfordsville Heart Screening Registration

Thank you for registering [your child] to participate in our preventative heart screening program! Preventative heart screenings help identify underlying heart conditions that typically go undetected by the standard/sports physical examination. Preventative heart screenings are NOT used to replace any examination processes already in place, but rather in addition to for an added level of heart health protection and peace of mind.

Thank you in advance for your generous support of SafeBeat and its life-saving efforts. Your charitable donation of $20 will help offset our cost to fulfill our mission of preventing Sudden Cardiac Arrest in America's youth. (Click HERE to learn more about sudden cardiac arrest.)

Once this form is complete, you will be redirected to the Consent form and Registration questionnaire.

Return Policy: All donations are final and non-refundable.

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One Screening ($1,500 Value)

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The SafeBeat Initiative is a 501c3 non-profit organization.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE 1-800-HELP-FLA (435-7352) OR AT www.FloridaConsumerHelp.com . REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE." FLORIDA REGISTRATION CH31645

ALL GIFTS ARE USED SOLELY TO SUPPORT THE MISSION OF THE SAFEBEAT INITIATIVE. REASONABLE EXPENSES, INCLUDING OVERHEAD, MAY BE DEDUCTED. SAFEBEAT USES DONOR INFORMATION SOLELY FOR THE PURPOSES OF FUNDRAISING IN SUPPORT OF THE SAFEBEAT INITIATIVE AND ITS MISSION.