Please provide the following information. Please note that this information will be shared with first responders. EarlyAware does not provide training to officers, nor do we monitor how the information is used. By completing this survey you are authorizing EarlyAware to use your data to demonstrate customer interest and demographics. By completing this survey you are verifying that you are over the age of 18 and: a) representing yourself; or b) representing someone for whom you are a guardian. EarlyAware does not accept responsibility for any outcomes resulting from the use of this application.