EMS Standby Request Event Information Event Title (required) Event Location (required) Event Start Date/Time (required) Event End Date/Time (required) Type of Event Public Relation Medical Standby Short Description of Event Anticipated Attendance Event Resources Required (required) (i.e 1 Ambulance with 2 Medics, etc ) Ambulance (ALS Paramedic and EMT) Ambulance (BLS EMT and EMT) Bike Team Bear-A-Medic Mascot Quick Response Vehicle (Gator) Event Point of Contact Event Point of Contact Name (required) Event Point of Contact Email (required) Event Point of Contact Phone (required) Requester Information Requester Contact Name (required) Requester Contact Email (required) Requester Contact Phone (required) ReCaptcha
