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Living > Public Health, Safety

Special Event Request Form

The objective of the Niagara Emergency Medical Services (NEMS) Community Relations program is to identify and address any questions that the general public may have in regards to our operations. Our Community Educations and Awareness Officer would be happy to work with you to assist in organizing an event that requires participation of our paramedics. We will strive to accommodate your request.

Use our Information Request Form to contact our Community Educations and Awareness Officer about your event or tour.

Applicant Information

Applicant:

Affiliated Organization:
   (if appropriate)
Street Name:
City:
Postal Code:
Event Manager/Contact:
Telephone:
Fax:
Email address:
 
Event Information

Event Name:
Event Date:
Event Time:
Event Address:
Event Description:
Anticipated number of people attending your event:
Will there be any other community partners present (please list):
Are you requesting that NEMS bring any special equipment or materials?
NEMS role at this function:
 
This is a request form only. NEMS will contact you regarding your request. Please note that we will strive to accommodate your request but cannot guarantee attendance. If you have questions or need additional information, please call the Niagara Emergency Medical Services Community Educations and Awareness Officer at 905-984-5050 ext. 5001, by fax to 905-984-5051.

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