Special Events Request

Special Event Ambulance Services:  Pridemark and Rural/Metro Ambulance provide ambulance standby services at a variety of special events throughout the area, including events at Dick's Sporting Goods Park and Arapahoe Park Horse Track.  We also regularly visit schools, and community organization events.  Please fill out the form below to tell us about your event. Our Special Event Manager will contact you to confirm availability for your request.

 

  1. Event Name*
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  2. Location*
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    (if other, please explain in Detail below)
  3. (We schedule the crew to be in place 30 minutes prior to the start time, to be sure they are familiar with your procedures and locations.)
  4. First date of event
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    Start Time
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    End Time
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    Next Day of event
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    Start Time
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    End Time
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    Next Day of event
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    Start Time
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    End Time
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    Next Day of event
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    Start Time
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    End Time
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  5. For events longer than four days, please describe in the Details section below.

  6. Event location and contact information:

  7. Your Name
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  8. Street Address
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  9. City
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  10. State
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  11. Zip
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  12. Contact Name*
    Enter Your Name
  13. Phone number
    Please enter valid phone number
  14. Mobile Phone
    Please enter valid mobile number
  15. Email Address*
    Input must be a valid email address
  16. Number of Ambulances Needed
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  17. Dedicated?
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  18. Check one:
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  20. Invalid Input
  21. Details
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  22. Billing Info (no credit card info, please!)
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  23.   

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