Event Booking Form
Thank you for choosing Aero Fire and Rescue Service Ltd - Medical Group as your medical provider. In order for us to provide you with the best medical cover please complete the following form in as much detail as possible. This form will be kept confidential in line with company guidelines, Data Protection Act 2018 and GDPR in addition to the Information Commissioners Office (ICO) guidelines
Customer Name
First Name
Last Name
Company Name (if applicable)
Customer Address
Customer Email Address
Customer Phone Number
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Event Details
Please provide the general details about the event
Event Name
Event Location
Start Date
-
Day
-
Month
Year
Date
Hour Minutes
Finish Date
-
Day
-
Month
Year
Date
Hour Minutes
If the event is over multiple days, please specify
Website for further details
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Event Activities
Expected Attendance
Description of event
Previous history (if applicable)
Time of Year
Please Select
Spring
Summer
Autumn
Winter
Camping on site
Yes
No
Is there a likelihood of drugs and alcohol consumption on the event
Yes
No
Specific Activity
Fire and Pyrotechnics
Live Music and Bands
Parades and Marches
Vehicle Movement
Working at Heights
Night Time Operations
Performers
Crowd Dynamics
Predominantly Younger Crowd
Predominately Older Crowd
Mixed family groups
Students
Rival Fans
Should be Empty: