*NAME FIRST AND LAST:
Location Details
*ADDRESS TO BE NOTIFIED no P.O. boxes: APT/SUITE/UNIT:
*CITY: *STATE: *ZIP CODE:
*THIS ADDRESS IS
Residenal Business IS THIS ADDRESS A Mobileor Manufacturedhome?
Additional Location Pleaselloutthisseconifyouwouldliketoregistermulpleaddressesunderyourname.
*ADDRESS TO BE NOTIFIED
no P.O. boxes: APT/SUITE/UNIT:
*CITY: *STATE: *ZIP CODE:
*THIS ADDRESS IS
Residenal Business IS THIS ADDRESS A Mobileor Manufacturedhome?
Contact Information
*PHONE 1: PHONE 2:
MOBILEMobile provider: MOBILEMobile provider:
TDD/TTYDEVICETonedelivery,forhearingimpaired TDD/TTYDEVICETonedelivery,forhearingimpaired
EMAILADDRESS:
TEXTMESSAGEMobile phone number and phone provider:
Alert Types Selectanyaddionalalerttypesyouwouldliketoreceive.
EmergencyNocaons GeneralNocaons WeatherWarningsIf applicable
Data Privacy
Byelecngtokeepyourinformaonprivate,OnSolve™willnotreleaseyourinformaontoanythirdparesunlesscompelledtodosobya
competentcourtoflaw,andOnSolvewillallowyourinformaontobemadeavailabletoyourlocalprovideronlyforuseinoneofOnSolve’s
services.Iftheboxisleunchecked,youareelecngtomakeyourinformaonpublic,meaningOnSolvemayreleasetheinformaontoyour
localprovider,anditmaybecomesubjecttolocalpublicinformaonrulesandrequests.
Keepmyinformaonprivate
CO M
M U N I T Y N OT I FI C AT I O N EN RO L L M EN T
*REQUIREDFIELDS
HAVE A BOROUGH SPECIALIST ENROLL YOU!
Return Form to: Borough of Conshohocken
Attn: Emergency Management
400 Fayette St. - Suite 200
Conshohocken, PA 19428
TERMS & CONDITIONS
OnSolvewelcomesyou,asa“Subscriber”toitsCodeRED
®
and
CodeRED
WeatherWarning
®
Services(the“Services”).Bycompleng
thiscommunitynocaonenrollmentform,youagreetobesubjectto
OnSolve’sTermsofUse(“Terms”)andPrivacyPolicy(“PrivacyPolicy)
locatedhere:www.onsolve.com/privacy-statement/,whichmaybeupdated
frommetome.Bycomplengthisform,youagreethatyouhaveread
the
TermsandPrivacyPolicy,andagreetotheminfull.
YourInformaon:Theinformaonwecollectonthisformisdesignedto
assistOnSolveinservingyoubaseduponyourrequestforemergencyor
generalinterestnocaonsfromOnSolveoryourlocalprovider.
Youagreetoprovidetrue,accurateandcompleteinformaononthisform,
andtomaintaintheaccuracyofsuchinformaonatallmes.Youwarrant
andrepresentthattheprovisionofsuchinformaondoesnotinvadeonthe
privacyofanyotherperson.Youagreenottoimpersonateanypersonorenty,
ormisrepresentthemselvesassuchpersonorentywhenllingoutthisform.
Thedatayouareprovidingonthisformisbeingcollectedbyyourlocal
provider.Accordingly,OnSolvewillhavenocontroloverthedisclosure
ofyourinformaonbyyourlocalproviderandincertaininstances,your
informaonmaybesubjecttopublicrecordsrequestsandtransferred
withoutOnSolve’sknowledge.OnSolveSHALLHAVENOLIABILITYTO
YOUASARESULTOFYOURLOCALPROVIDERSTRANSFEROFYOUR
INFORMATION.Anyinformaonwhichyourlocalprovidersendsto
OnSolveiskeptcondenalbyOnSolveandOnSolvewilltakereasonable
andappropriatestepstoprotectthisinformaonfromunauthorizedaccess
ordisclosure.OnSolve does not sell, rent or lease informaon to third
pares, provided however, that the informaon on this form will be shared
with your local provider.
Wedonotintenonallycollectpersonalinformaonfromanyoneweknow
tobeundereighteen(18)yearsofage.Bysigningup,yourepresentand
warrantthatyou(i)areeighteen(18)yearsofageorolder;or,(ii)ifyouare
registeringinformaonforachildundereighteen(18)yearsofage,youare
theparentorlegalguardianofsuchchild;youareovereighteen(18)yearsof
age;andthatyouarelegallyauthorizedtoprovideinformaonforsuchchild
tobecontactedthroughOnSolve’sServices.
OnSolvewelcomesyourcommentsregardingthisformortheServices
OnSolveprovides.Ifyouhaveanyquesons,pleasecontactOnSolveby
telephone,e-mail,orpostalmail.
OnSolve Privacy
OnSolve, LLC
780 W. Granada Boulevard, Ormond Beach, Florida 32174
386-676-0294
PRIVACY POLICY
Registraon: AsaSubscriber,youunderstandandagreethatOnSolve
maysendyoucommunicaons,announcements,newsleers,service
announcementsandotheradministravemessages.Thesemessages
are
separatefromanymessagessentbyyourlocalprovider.
YouauthorizeOnSolvetomaintainadatabaseofinformaonaboutyou
baseduponwhatisincludedonthisform.Youunderstandandagreethat
yourlocalproviderandOnSolvehavetheabilitytomodifyand/orremoveyour
informaonfromtheServices.Suchremovalisatthesolediscreonofthe
localproviderandOnSolve.Youacknowledgeandagreethat,byregistering
withanyoftheServices,youconsenttobecontacted,usinganautomated
dialerandapre-recordedmessage,byOnSolveandOnSolve’sclients.
Youunderstandandagreethatyoumayrequesttostopreceivingmessages
throughtheServicesbycontacngthephonenumberlistedinanymessage,
bycontacngyourlocalproviderorbycontacngOnSolveat386-676-0294.
Youunderstandandagreethatremovingyourinformaonthroughyourlocal
providermaynotremoveyoufromOnSolve’sdatabasesifyourinformaon
isavailablethroughacommerciallyavailabledatabase,orlaterre-entered
intotheServices.
Limitaons:YOUUNDERSTANDANDAGREETHATONSOLVE,ALONG
WITHITSOFFICERS,MEMBERS,EMPLOYEES,AGENTS,AFFILIATES,
PARENTS,SUCCESSORSANDASSIGNS(THE“RELEASEES”)DISCLAIM
ANYANDALLLIABILITY,WHATSOEVER,WHETHERRAISEDBYATHIRD
PARTYOROTHERWISE,FORANYANDALLREASONS,INCLUDINGBUT
NOTLIMITEDTOPERSONALINJURY,DEATHORLOSS,INFRINGEMENT,
INVASIONOFPRIVACY,PROPERTYDAMAGE,ANDINTERRUPTION
TOBUSINESS,TOYOUANDYOURHEIRSANDASSIGNS,WHICHMAY
RESULTFROMTHEUSEORANYERRORSOROMISSIONSOFTHE
SERVICES,ORFROMTHEFAILUREOFOnSolveTOUPDATEORPROVIDE
ANYINFORMATIONTHROUGHTHESERVICES.
TOTHEMAXIMUMEXTENTPERMITTEDBYLAW,INNOEVENTSHALL
ANYRELEASEEBELIABLEFORANYDIRECT,INDIRECT,INCIDENTAL,
SPECIAL,PUNITIVEORCONSEQUENTIALDAMAGESWHATSOEVER
(INCLUDINGBUTNOTLIMITEDTOLOSTPROFITS,LOSSOFPRIVACY,
LOSSOFCONFIDENTIALINFORMATION,ORBUSINESSINTERRUPTION)
FROMORDUETOTHEUSE,MISUSEORINABILITYTOUSETHESERVICES,
EVENIFTHERELEASEESHAVEBEENADVISEDOFTHEPOSSIBILITYOF
SUCHDAMAGES.YOUEXPRESSLYAGREETHATTHEUSEOFTHE
SERVICESISATYOURSOLERISKANDTHATTHESERVICESAREPROVIDED
SOLELYONAN“ASIS,”“ASAVAILABLE,”AND“WITHALLFAULTS”BASIS.
OnSolveANDOnSolve’SCLIENTSSHALLNOTBELIABLETOYOUFOR
ANYDAMAGESWHETHERBASEDINCONTRACT,TORTORANYOTHER
LEGALTHEORYBEYONDAREFUNDANYFEESPAID(IFANY).
YOUACKNOWLEDGETHATYOURLOCALPROVIDERISPROVIDINGTHE
SERVICESASAPUBLICSERVICEANDFORNOCOMPENSATIONFROM
YOU.YOUACKNOWLEDGETHATYOURLOCALPROVIDERMAY,INITS
SOLEDISCRETION,TERMINATETHESERVICESATANYTIME.YOUALSO
ACKNOWLEDGETHATTECHNICALPROBLEMSORHUMANERRORMAY
RESULTINAFAILUREOFTHESERVICESATANYTIME.YOURACCESS
TONOTIFICATIONSSENTTHROUGHOnSolve’SSERVICESMAYBE
TERMINATEDATANYTIME,FORANYREASON.INCONSIDERATIONOF
THESEFACTORS,YOUHEREBYWAIVE,RELEASE,ANDHOLDHARMLESS
YOURLOCALPROVIDER,OnSolve,ANDTHEIRRESPECTIVEPARENTS
ANDSUBSIDIARIES,FROMANYCLAIMARISINGFROMAFAILURE,FOR
ANYREASON,TOPROVIDETHESERVICES.
YouunderstandandagreethatOnSolvedoesnothavecontrolover
telephoneservice,cellularserviceandinternetserviceproviderswhichmay
benecessaryforsendingmessagesthroughtheServices.Accordingly,notall
calls,textsandothernocaonsmaycomethrough,andsuchfailureshall
notbedeemedtobetheresponsibilityofOnSolveoryourlocalprovider.
YouunderstandandagreethatthereceiptofmessagesthroughtheServices
maycauseyoutoincurphone,text,anddatacharges,andthatOnSolveisin
nowayresponsibleforsuchcharges.
YouacknowledgethattheServicesareintendedtobeusedaspartofa
comprehensivegeneralandemergencynocaonstrategy,whichaswell
astheuseofcommonsense.YouunderstandandagreethattheServices
aresimplyatooltoprovideyouwithinformaon,andthatyoucannotrely
onemergencynocaonsnortreatanyoftheServicesasalife-saving
orproperty-savingdevice.Intheeventofanemergency,youmustplacea
phonecallto9-1-1oryourlocalemergencyprovider.