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