Request Event Services – National First Aid Training

Name*

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Email*

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Phone*

Event Name*

Events date/s*

Times first aid service required*

Event Location details

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Expected number of participants and spectators*

Anticipated age group of participants and spectators*

Number of first aiders required*

Equipment required*

To select more than one option click in the box above again to see options and choose as required.

Please specify other equipment required

Is parking available*

Yes
No

Where is the arranged meeting point?*

Will a first aid room be available?*

Yes
No

Will other shelter be available for first aid use? Please advise (eg tent, umbrella, marquee).

Will running water be available?*

Yes
No

Will bottled water be available?*

Yes
No

Will alcohol be consumed at the event?*

Yes
No

Will external security be present?*

Yes
No

Extra comments or details:

Does your event venue comply with current OH&S legislation?*

Yes
No

NOTE: It is the event manager's responsibility to manage the health and safety of all people present at the event.

Do you have an emergency response plan?*

Yes
No

Have you undertaken a risk assessment of this event?*

Yes
No

Are there any known risks or hazards that might cause harm to staff, spectators/ competitors attending your venue / event? (please describe)

Venue Contact Details

Event contact name (if different from organiser)

Site contact phone*

By requesting first aid event services with National First Aid I acknowledge the acceptance of the event service terms and conditons.

I acknowledge the terms and conditions above

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Request First Aid Event Services

Event Location details

Venue Contact Details

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