Border City EMS Ltd.
Event Medical Services
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Request for Event Coverage
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Contact Name
*
First
Last
Email
*
Phone Number
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Estimated number of people
*
This will help us determine how to staff properly for your event.
Event start time
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Event end time
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What time would you like the attendants to arrive at the event?
*
This may be prior to the start of the event to ensure volunteers are taken care of in case of medical emergency before the arrival of the event participants.
What time are the attendants expected to stay until?
*
This may be later than the event end time to ensure everyone departs safely.
Describe the event.
*
Email
Submit