Event Quote Request
Submitter Information
Name
First Name
Last Name
Email
example@example.com
Your Organisation Information
Organisation Name
Street Address
City
County
Postal Code
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Event Information
Event Title
Location of Event
include nearest postcode for entrance
WHAT 3 WORDS for Entrance
https://what3words.com/
Event Category
Athletics Events/ Marathon
Cycling Event / Race
Bonfire / Pyrotechnic Display
Dance Event
Classical Music Performance
Contact Sports
Non Contact Sports
Demo / March
Fete (Village / School / Community)
Horse Riding / Show Jumping
Motor vehicle/ Cycle Display (static)
Motor Sport
Music Festival
Private Celebrations
Public Holiday Celebrations
Static medical cover (WORK PLACE Medical room)
Pop / Rock Concert
Other
Event Start Date
-
Month
-
Day
Year
Date
One Day Event
No
Yes
Event Start and End Times
(Day 1 of your event if more than one day cover required)
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Omega Cover Start Time
Hour Minutes
AM
PM
AM/PM Option
Omega Cover End Time
Hour Minutes
AM
PM
AM/PM Option
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Event Times
Date 2
-
Month
-
Day
Year
Date
Event Start Time 2
Hour Minutes
AM
PM
AM/PM Option
Event End Time 2
Hour Minutes
AM
PM
AM/PM Option
Omega Cover Start Time 2
Hour Minutes
AM
PM
AM/PM Option
Omega Cover End Time 2
Hour Minutes
AM
PM
AM/PM Option
Date 3
-
Month
-
Day
Year
Date
Event Start Time 3
Hour Minutes
AM
PM
AM/PM Option
Event End Time 3
Hour Minutes
AM
PM
AM/PM Option
Omega Cover Start Time 3
Hour Minutes
AM
PM
AM/PM Option
Omega Cover End Time 3
Hour Minutes
AM
PM
AM/PM Option
Date 4
-
Month
-
Day
Year
Date
Event Start Time 4
Hour Minutes
AM
PM
AM/PM Option
Event End Time 4
Hour Minutes
AM
PM
AM/PM Option
Omega Cover Start Time 4
Hour Minutes
AM
PM
AM/PM Option
Omega Cover End Time 4
Hour Minutes
AM
PM
AM/PM Option
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Description of Event
Services Required:
What type of Staff do you require?:
First aid/ Medical team Staff
Night Club Medics
Event Support Team
Event Manager
Control Room Staff
Welfare Team
Safeguarding Manager
Other
Will the event be ticketed?
Please Select
No
Yes
If yes, then how many tickets per day?
Will Alcohol be available on site?
Yes
No
Specific activities taking place:
Athletics Events/ Marathon
Cycling Event / Race
Bonfire / Pyrotechnic Display
Dance Event
Classical Music Performance
Contact Sports
Non Contact Sports
Demo / March
Fete (Village / School / Community)
Horse Riding / Show Jumping
Motor Cycle Display (static)
Motor Sport
Music Festival
Private Celebrations
Public Holiday Celebrations
Pop / Rock Concert
Other
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Number of sites/ arenas/ mats/pitches covered by the event:
Approximate number attending (participants):
Approximate number attending (spectators):
Will the general public be attending?
yes
no
If YES, accommodation for general public
Seating
Standing
Mixed
Casualty and Incident InfoPlease enter previous casualty and Incident history from this event
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