Section 1: Event Organiser & Contact Details

Organisation/Company Name *

Organiser Name (Primary Contact) *

Phone Number *

Email Address *

Billing/PO Reference (if known)

Section 2: Event Logistics

Event Name *

Event Type * Select event type Select type Agricultural show / county show Air show Beach / coastal event Charity event / fundraiser Christmas market / seasonal market Community fete / family fun day Concert / music festival Conference / exhibition / trade show Construction / industrial site event Corporate event / launch Cycling / MTB event Equestrian / horse show Fair / carnival / funfair Film / TV production (set medic) Fireworks / public display / parade Food & drink festival Marathon / running event Motorsport / karting Other Outdoor adventure / obstacle course Religious gathering / ceremony School / university event Sporting event (indoor) Sporting event (outdoor) VIP / private party

Event Location (Full Address/Site Name) *

Event Dates (From) *

Event Dates (To) *

Required Coverage Start Time *

Required Coverage End Time *

Event site requires off-road or 4x4 access

Section 3: Risk & Attendance Details

Expected Peak Attendance *

Audience Profile *

Highest Risk Activity *

Does the event involve alcohol consumption? *

Yes No

Specific licensing / council medical cover requirements apply

Section 4: On-site Clinical Cover Requirements

First Responders / First Aid Unit Medical Treatment Unit / Base Ambulance Provision (EMT/Technician crew)

Paramedic-led Emergency Ambulance 4x4 Response Unit

Specific Requirements

Section 5: Final Notes

Any additional notes about your event vision

Request Quote & Risk Assessment