Event booking form

First Aid Event Cover Booking Form

* Indicates required field

Event name *

Date of event *

Name of event organiser *

Email address of event organiser *

Address of event *

Name of organiser on the day *

Contact number of organiser of the day *

Approximate number of participants/spectators *

Start & end time of event *

Start & end time of medics *

Number of medics required *

Do you require medic staff to be mobile? (please indicate) *

Yes (see below) No

Does your event have low medium or high levels of incidents? *

Low casualty rate Medium casualty rate High casualty rate First event/no data

What cover did you have in place previously? If this is your first event what cover do you require according to your risk assessment? *

Is there anything in your risk assessment that we need to be made aware of? *

Submit

Telephone 07976 919143 Email [email protected]