Community First Aid offers First Aid services at your public or private event.  All First Aid Attendants hold current First Aid Certificates at various levels.


BOOKING REQUEST FORM


Name of Organization Requesting Service 

Contact Person's Name 

Contact Person's Phone Number (including area code) 

Contact Person's Email Address 

Organization's Mailing Address (including postal code) 


EVENT INFORMATION

Name of Event 

Location of Event  
We may request a map of the event and a schedule/timetable

Date(s) of Event 

Start & End Times / Date 

Number of Participants/Organizers  and  the Number of Spectators (estimate)

          		 

Admission Fee (if applicable)

     Indoor Event     Outdoor Event     Indoor & Outdoor Event     
 
Onsite Contact Person's Name  and  Onsite Contact Person's Phone Number
          		 
Rain out/contingency plan and other notes: 

 
The Community First Aid Team is a non-profit volunteer organization funded by donations which are used to maintain equipment, stock medical supplies, and provide services.  Your support is greatly appreciated.  We look forward to receiving your donation of $ on the day of the event.
 




Please note, if the form does not submit, check to ensure all your information is filled in completely and correctly, then click the Submit button again.   :)