Beta Program Application

Tell us a bit about your home or site

We use this information to confirm SafetySense will work well in your environment and to schedule a short fit call. Wave 1 is limited — completing this form doesn’t guarantee a spot.

Contact information

Full name *

Email *

Phone (for coordination)

Address (city/state is OK)

We use this to understand time zone and serviceability.

Household & site information

Type of location

Number of rooms to cover

Wi-Fi stability

Caregiver or emergency contact on site?

Eligibility & readiness

I am willing to share anonymized performance logs to help improve detection. (required)

Availability for 15-minute fit call

Preferred installation support

Program agreement

This is a limited beta — we want to be sure expectations are clear.

I understand this is a limited beta program with capped availability. I agree to return or uninstall equipment within 7 days if I do not continue after the beta. I understand this is not a medical device and emergency response remains my responsibility.

Anything we should know?

Tell us about the person you’re protecting, any mobility issues, or room layout.