Event Medics

If you would like a quote for our team to attend your event, you can use the online form below to request your FREE, no-obligation quote.

Contact details

Please complete these fields with your information so we can contact you about your enquiry during business hours.

Name

First

Last

Mobile

Billing Information and Contact

Please complete this information with the details of your accounts payable contact if different from the above.

Organisation Name

Billing address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Accounts Payable Contact

Please privide your accounts payable contact if different from the above contact details.

Accounts Payable Phone

Accounts Payable Email

General Event Information

The information you provide is vital for our preliminary risk assessments. We understand that you may be unable to complete all aspects of this form, but we kindly request that you provide as much information as possible.

Event Name

Type of event

Venue Name

Venue Type

Venue Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Event Start Date

Event Start Time

Event Finish Date

Event Finish Time

Event Description

Number of participants

Please provide an estimated number of partiipanst per day.

Number of spectators

Please provide an estimated number of spectators per day.

Number of staff

Please provide an estimated number of your on-site staff.

Attendance Profile

Food Onsite

Alcohol Onsite

Event History

Event Health and Safety

Licensed security will be on-site
Free sunscreen will be available
Free water will be available
Free person cooling/resting areas will be available

Event Resources

First Aid Room/Space

Vehicle requirement

Event Site Parking

Additional Information

Please use this space to provide any additional information you believe we need about your event. The more we understand about an event, the better service we can provide.

Supporting documents

Click or drag files to this area to upload. You can upload up to 3 files.

If you’re attaching any supporting documents (for example, route maps, site maps, etc.), please upload them here.

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