BMRC Event Medical Questionnaire
Please respond to the following questions if you would like to have the Berkeley Medical Reserve Corps provide medical care at your event. You may always return to: http://tinyurl.com/BMRCevent to submit another response.
Email address *
Name of organization: *
Your answer
Primary contact name: *
Your answer
Primary contact phone: *
Your answer
Primary contact email: *
Your answer
Event name: *
Your answer
Event date(s): *
Your answer
Event time(s): *
Your answer
Event location(s): *
Your answer
What is the anticipated population size for the event? *
Your answer
How many teams would you like to have on duty at this event? One team = two EMTs. *
Your answer
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