Use this form to request our paramedics attend your special event.
We cannot guarantee attendance. After you submit this request form, we will contact you regarding your event.
Call us at 905-984-5050 ext. 2859 for further information.
* = Required
* Postal code
Event Contact Information
I'm the event contact
Event contact name
* Start time
Specify a time
Description of event
# of people attending
Other community partners (fire, police, agencies) will be present
List these community partners
Describe what our role will be at your event
Describe any special equipment/materials you would like us to bring
Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.
Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email our Access and Privacy Office or call 905-980-6000 ext. 3779.
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© Niagara Region - 1815 Sir Isaac Brock Way, Thorold, ON, L2V 4T7 - Phone: 905-980-6000, Toll-free: 1-800-263-7215