Required fields are marked with asterisks (*)

Hiring EMS

Use this form to request EMS to either provide education/information at a booth setup, or that EMS be present for providing medical assistance at your event.

Name

Name of your organization

Contact information (phone number and email address)

I am looking for a(n)...

Ambulance & paramedic onsite providing medical assistance

Information booth

Date of your event

Time of your event

Other relevant information