Sla Ambulance Demonstration Send Form

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Demonstrations & School Programs

San Luis Ambulance staff members are available to do demonstrations on what we do and how we go about doing it. Groups that San Luis Ambulance frequently provides demonstrations for include school groups, scouting and service groups.

These demonstrations can range from a single staff member talking to a service group about emergency medical services, to a fully-staffed ambulance crew, with their ambulance, discussing the benefits of pre-hospital care to students during a career day.

A soon as you are aware that you would like to request San Luis Ambulance for a demonstration, please fill out the form below so that we may assist you.

REQUEST FOR AMBULANCE DEMONSTRATION

San Luis Ambulance believes that serving the community is an honor. We welcome the opportunity of supporting local organizations and educating the community with ambulance demonstrations whenever possible.

Please provide us with the following information a minimum of two weeks prior to the date of your event so that we may determine the availability of crews and units to respond to your needs.

Organization requesting stand-by ambulance service :

Contact person:

Phone Number:

Mailing Address:

Email Address:

Date of event:

Event start time:

Event end time:

Physical address (or location) of event:

Area/City:

Number of adults :

Number of children:

Age range of children :

Contact person at event:

Phone number the day of event:

Please verify you are not a robot :

I understand that completion of this form constitutes a request for the participation of an ambulance and staff in our event for community education and demonstration. Confirmation of service will be determined upon availability of staff and units. I understand that notification of service confirmation or denial will be made by phone or in writing as far as possible prior to the date of the scheduled event.

Stand-by Request Form 5/98
Revised 1/03, 1/04, 1/05, 04/06, 04/08, 03/12

Friday	9AM–9PM
Saturday	9AM–9PM
Sunday	9AM–8PM
Monday	9AM–8PM
Tuesday	9AM–8PM

Sla Ambulance Demonstration Send Form

Add New Ambulance Demonstration Request Form

Demonstrations & School Programs

REQUEST FOR AMBULANCE DEMONSTRATION

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