Georgetown EMS Standby Request Form
Email *
Name of organization requesting EMS services?
What type of support would you like?
Clear selection
Is the organization affiliated with Georgetown University?
Clear selection
Contact Email Address
Location of the event
Date of the event (mm/dd/yyyy)
Start and End time of the event (0000-2400)
Immediate questions or concerns?
A copy of your responses will be emailed to the address you provided.
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