Location or Event Registration Form

At Be Prepared Vancouver Island, we can offer you a variety of options and services for your location or event. Whether it is a weekend sporting event, an occasional coverage for your business, or an ongoing contract we can help.

Please fill in the following fields as best you can. If you are unsure, please state this in the details part of the form. If you require assistance please feel free to contact us. Fields marked with an asterisk * are required fields.

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Location or Event Name

Contact Person *

Contact Phone Number *

Email *

City of Event *

Event Start Date *

Event Start Time

Event End Date *

Event End Time

Please describe your event and any details you wish to give

How Many Attendants does your location or event require?

Selected Value: 1

What level of First Aid does your location or event require? *

• Intermediate First Aid
• Advanced First Aid
• Emergency Medical Responder

or any Event

Is this a paid event?

• Yes
• No, we need volunteers
• Sort of, we can provide an honorarium

Submit