Event Date:
Personal Data:
First and Last Name
E-mail Address
Phone Number
Name of Event
Length of Event
Expected Attendence (staff included)
Status	Faculty/Staff Student

Description of Event: Please provide a detailed description of the event in the provided box. Please include event type and purpose as well as the resources you would like SLU EMS to provide (EMTs, First Responders, etc.).

Please note that while our 24/7 services are free of charge, there is an hourly fee associated with event stand-bys. This fee varies by the resources posted at the event. Event Stand-by and the resources allocated at an event are at the discretion of SLU EMS. SLU EMS will contact your to confirm and discuss your request. If all the information above is correct please click the submit button. Thank you!