EVENTS AND PR REQUESTS What kind of EMS representation are you requesting? No ambulance needed - Harris County Fire Marshal Event Permit notification only Ambulance Visit Ambulance Show and Tell with EMS Staff. (This is an extra staffed truck for your event. Limited to 4hrs max) Outreach Personnel: Table display with safety and injury prevention information Instructor for Training or Safety Presentation: Heat Safety Awareness, First Aid Basics, Lightning Safety, Emergency Preparedness, Senior Safety/Vial of Life (requires class size of 10 or more participants) Event Name Event Date Address Address Line 1 Address Line 2 City Zip Code Type of Event School career day Community helper day Neighborhood event Community event Safety fair Group instruction Other Requested EMS arrival time Number of people expected at the event? Is the event indoors or outdoors? Indoors Outdoors Please provide a brief description of the event: * First Name Last Name Email Address Mobile Phone Number Name of organization, business or group you represent: Special instructions (parking, check-in, setup): SUBMIT
