Potsdam Volunteer Rescue Squad Standby Request Form
PVRS is an staffed by community volunteers. We do our best to accommodate all standby requests. We ask that all requests be made TWO WEEKS prior to the event to allow us to find volunteer members for the request. Requests made within two weeks of the event will be filled if possible.
Requesting Organization *
Your answer
Contact Name *
Your answer
Contact Number *
Your answer
Contact Email
Your answer
Event Name and Description
Your answer
Event Location (include address if possible) *
Your answer
Event Date *
MM
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DD
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YYYY
Start time *
Time
:
Estimated End time *
Time
:
Does your event require EMS to be present? *
Comments
Your answer
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