Event Quotation Form
Please fill this form out to the best of your ability so we can give you a accrete quotation.
Event Name
*
Event Organiser Company Name
*
Organiser Legal Name
Event Organisation Type
*
Limited Company (LTD)
Registered Charity
Community Interest Company
Town Council
City Council
County Council
Other
Point of contact Name
*
First Name
Last Name
Contact Email Address
*
example@example.co.uk
Contact Phone Number
*
-
Area Code
Phone Number
Event Start Date
*
-
Day
-
Month
Year
Date
Event length
*
Event Finish Days
-
Month
-
Day
Year
Date
Start time - Daily
*
Hour Minutes
AM
PM
AM/PM Option
Finish Time - Daily
*
Hour Minutes
AM
PM
AM/PM Option
Event Location
*
Street Address
Street Address Line 2
City
County
Postal Code
Nature of event - Select all that are appropriate
*
Classical performance
Public exhibition
Pop / rock concert
Dance event
Agricultural / country show
Marine - Boat Use
Motorcycle display
Aviation
Motor sport
State occasions VIP visit / summit
Music Festival
Bonfire / pyrotechnic display
New Year celebrations
Village Fete / Town Show
Other
Venue
*
Indoor
Stadium
Outdoor in confined locations, e.g park
Other outdoor, e.g Festival
Widespread public location in streets
Temporary outdoor structures, eg Tents
Includes overnight camping
Other
Audience profile
*
Full mix, in family groups
Full mix, not in family groups
Predominately young adults
Predominately children and teenagers
Predominately elderly
Full mix, rival factions
Past History
*
Good data, low casualty rate previously (less than 1%)
Good data, medium casualty rate previously (1% - 2%)
Good data, high casualty rate previously (more than 2%)
First event, no data
Expected numbers
*
< 500
< 1,000
< 3,000
< 5,000
< 10,000
< 20,000
< 30,000
< 40,000
< 60,000
< 80,000
< 100,000
< 200,000
< 300,000
Other
Expected queuing
*
Less than 4 hours
More than 4 hours
More than 12 hours
Additional hazards
*
Carnival
Helicopters
Motor sport
Parachute display
Street theatre
Bouncy Castles
Archery
Firearms
Alcohol being served
Other
Vehicle Access across site
*
YES - LGV / Van
YES - Car
YES - 4x4 Vehicle
NO - No Access
Other
VHF/UHF Radios provided?
*
YES
NO
Other
Is food provided?
*
YES
NO
Other
Mobile Phone Signal Across site
*
YES - 5G/4G coverage all networks
YES - 5G/4G coverage some networks
YES - Basic phone signal no internet
NO - Patchy Phone signal
NO - No signal across site
Other
Is there power onsite for medical centre?
*
YES - 240v Power - No limit on Power Capacity
YES - 240v Power - Medium Power capacity
YES - 240v Power - Low Power Capacity
YES - 110v Power - No limit on Power Capacity
YES - 110v Power - Medium Power capacity
YES - 110v Power - Low Power Capacity
NO Power Available
Other
Parking?
*
YES - Free
YES - Paid
YES - < 5 Min Walk
YES - > 5 Min Walk
NO Parking
Other
Event Risk Assessments
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Previous Medical Cover / Suggested by professional body
*
Further information
I sign on behalf of the event organiser that all of the details are correct at the time of completing this form.
*
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