Contact DetailsOrganisation / Company *Contact Name *Phone Number *Email Address *States *State *VICNSWACTQLDSATASWANTEvent DetailsName of Event *Type of Event *Location of Event Address of Event *Date of events *Time of event *Estimated number of Patrons / Spectators / Attendees *What facilities will you have for first aid to work from ? *How many Acute Health staff are your requesting ?CheckboxesIs there Electricty available at your eventIs there access to running waterEvent HistoryHow many times as this run before (in years)? *How many people got sick or injured in your last event?Did any of these get transported to Hospital in an an emergency ambulance? if so what for ? *What were the nature of the injuries / illnesses at your last event ? *CheckboxesEvent Risk Assessment / Event Management Plan is produced and can be supplied on requestedIn the past, have there been any significant incidents or anything we should know about your event ? *Risk FactorsTick any of the following that are at your event ? Alcohol (provided / for sale)Drugs (history of drugs affected partrons at your event) Event over a large geographical areaRemote location - distance from medical careDifficult terrain or access for getting to/from patientsEquestrian activities including horse racingHigh speed motorsportsQueing / standing at the event for longer than 1 hourUnfit / amature competitors that present riskFurther Details Is there any further details you wish to tell us about your eventWhen do you need your quotation by ? MessageDocumentPhoneSubmit
