UnaliWear Configuration and Monitoring Center Information Thank you for purchasing the Kanega watch! This form will provide us with the information needed to configure and ship your watch. An important feature of the Kanega watch is the voice-activated emergency assistance. In order to activate the emergency monitoring center, we need to provide certain important information to the monitoring centers. In addition, we need to set up the Kanega watch with your home Wi-Fi. Please answer the questions in the next few pages so that we may activate your Kanega watch. (Why this is safe...) Missing or incomplete answers may delay shipment and activation of your Kanega watch. Wearer InformationWearer's Name* First Last Wearer Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Where do you want to ship the Kanega watch?* The wearer's address above Somewhere else Shipping Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Wearer's Email Wearer's primary phone number*Can the monitoring center text this number?*YesNoWearer's secondary phone numberCan the monitoring center text this number?YesNoWearer's Date of Birth:* Date Format: MM slash DD slash YYYY Wearer's Gender:*FemaleMale(OPTIONAL) If you wish, you can provide information for the medical alarm operators to pass along to emergency responders if they are activated. For example: drug or other allergies; chronic diseases; or specialized instructions ("No blood pressure or needles left arm").Wi-Fi ConfigurationFind the name and password for the Wi-Fi network in your residence. The name is also called the “SSID”. Your watch uses the 2.4 GHz Wi-Fi band. Sometimes, this name is a sequence of random numbers and letters, but people often personalize the name of a Wi-Fi network to help users identify its owners (i.e. "The Smith Family WiFi" or "Fred's Network"). Most Wi-Fi networks are protected by a password for security. You will need to provide the password so the Kanega watch can access your Wi-Fi network. Important: Both the SSID and password are case sensitive. It is very important that these credentials are entered accurately.Primary 2.4 GHz Wi-Fi Network Name (SSID):*This is the WiFi at your residence.Primary Wi-Fi Password:*Secondary 2.4 GHz Wi-Fi Network Name (SSID):If you have a second WiFi (like work or another dwelling), please include.Secondary Wi-Fi Password:Emergency Contact InformationPlease enter the contact information of the responsible parties in the order that they will be contacted in case of emergency. You may include up to three contacts. At least one emergency contact is required.Emergency Contact #1:Name* First Last Emergency Contact #1 Email Primary phone number*Can the monitoring center text this number?YesNoSecondary phone numberCan the monitoring center text this number?YesNoRelationship to wearer:* Spouse Son / Daughter Friend Neighbor Relative Other relationship Emergency Contact #2:Name First Last Emergency Contact #2 Email Primary phone numberCan the monitoring center text this number?YesNoSecondary phone numberCan the monitoring center text this number?YesNoRelationship to wearer: Spouse Son / Daughter Friend Neighbor Relative Other relationship Emergency Contact #3:Name First Last Emergency Contact #3 Email Primary phone numberCan the monitoring center text this number?YesNoSecondary phone numberCan the monitoring center text this number?YesNoRelationship to wearer: Spouse Son / Daughter Friend Neighbor Relative Other relationship Paper measuring tool, if no flexible measuring tape is available.
