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Jump to Start Your Heart Registration Form Name of Education Facility:___ Physical Address:___ Mailing Address:___ Parish:___Phone:___Principal, Chancellor, President Information Name:___Phone:___Email
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How to fill out jump start your heart

01
Start by locating the jump start terminals on both vehicles.
02
Ensure both vehicles are turned off and the key is removed from the ignition.
03
Connect the red positive (+) clamp to the positive terminal on the dead battery.
04
Connect the other red positive (+) clamp to the positive terminal on the working battery.
05
Connect the black negative (-) clamp to the negative terminal on the working battery.
06
Finally, connect the other black negative (-) clamp to an unpainted metal surface on the car with the dead battery to ground the connection.
07
Start the working vehicle and let it run for a few minutes to charge the dead battery.
08
Try starting the vehicle with the dead battery. If it starts, disconnect the jumper cables in the reverse order that they were connected.

Who needs jump start your heart?

01
Anyone experiencing a dead car battery may need to jump start their heart.
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Jump Start Your Heart is a program designed to promote early intervention and support for individuals experiencing financial hardship, often related to healthcare costs.
Individuals who qualify based on certain financial criteria and who are seeking assistance under the Jump Start Your Heart program are required to file.
To fill out Jump Start Your Heart, individuals need to gather relevant financial documents, follow the specific instructions provided by the program, and submit the completed application form with the necessary documentation.
The purpose of Jump Start Your Heart is to provide financial relief and assistance to those facing challenges, particularly in relation to healthcare expenses.
Information that must be reported includes personal identification details, financial information, and any relevant medical expenses that justify the need for assistance.
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