NPEMA Event Request Form
Please complete this form when requesting our services at your event. Our youth provide various offers of service for medical coverage at both community and scouting events. Complete the below form in its entirety as it applies to your event.
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Email *
What is the Name of Your Event? *
What is the Date of your Event? *
MM
/
DD
/
YYYY
Is this a Multi - Day Event? If so please enter dates. *
Where will your Event be located? *
What is the estimated number of people who will be in attendance? *
Will Alcohol be served/available at your event? (If not served, but permitted at the event, please note this). *
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