Please complete this request form as accurately as possible. In order for our volunteers to be effective in providing this service, we request as much information as possible about your event. We also require at least three weeks notice prior to the day of the event. Due to the amount of requests that St. John Ambulance receives, completing the form below does not guarantee that volunteers will be present at your event. Please note that if your event passes over a mealtime, food needs to be provided for our volunteers. When providing a donation, please include the cost of gas to get to your event. Required Fields (
*
).
Agency Organization Information
Event /Coverage Information:
Name of Group/Organization
*
:
Event
*
:
Contact Person
*
:
Location
*
:
Address
Event Coordinator:
Address
*
:
After Hours Phone
*
:
City
*
:
Day of Event Phone
*
:
Postal Code
*
:
Attendance:
Business Phone
*
:
Participents:
Fax:
Spectators:
E-Mail:
Age Group(s):
Our volunteers who coordinate these assignments are often not in the position to be available during business hours to make contact with you.
Date 1
*
Date 2
Date 3
Date(s),(yyyy-mm-dd)
Alternate Date/Location
Start Time:
Finish Time:
Are you be able to provide the following for our volunteers in order for us to be prepared to serve your participants and be equipped to handle a variety of situations.
Designated First Aid Station/Sheltered Area(Y/N):
Cubed Ice(Y/N):
Clean Drinking Water(Y/N):
Washroom Facilities(Y/N):
Donation Provided(Y/N):
Parking for Volunteers(Y/N):
If you said yes to a donation and you would like a reciept for it please fill out the following fields.
Name/Organization on Reciept:
Mailing Address for Reciept:
Please enter the characters you see on the right:
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