Event Enquiry Form

Event name

Event contact name

Event contact phone number

Email address

Address of event

Event date[s]

Start time of cover

End time of cover

Venue: please give details of the type (e.g. indoor, temporary structure, stadium, outdoor)

Type of event: (e.g. family, seated, competitive)

Expected number of event participants (competitors) Expected number of event participants (competitors) < 10 > 10 > 20 > 30 > 50 > 100 > 200 > 300 > 500 > 1,000

Expected crowd size (spectators and/or customers) Expected crowd size (spectators and/or customers) < 1,000 > 1,000 > 3,000 > 5,000 > 10,000 > 15,000 > 25,000 > 50,000 > 100,000 > 250,000

Audience types: Audience types:Full Mix, in Family GroupsFull Mix, Not in Family GroupsPredominantly Young AdultsPredominantly Children and TeenagersPredominantly Elderly

Previous Casualty Data: Previous Casualty Data: Less than 1% Between 1% and 2% More than 2% Please tick if data is an estimate

Nearest A+E: Nearest A+E: Less than 15 minutes More than 15 minutes More than 30 minutes

Please detail any additional hazards (e.g. Alcohol, Animals, Fireworks & Stunts/Displays etc):

Please detail any additional on-site resources (i.e. additional medics) that we may need to know about:

Do you have a safeguarding policy in place for the event? Do you have a safeguarding policy in place for the event? YES NO

Do you have a major incident plan for the event? Do you have a major incident plan for the event? YES NO

Special requirements:

Please tick this box to confirm you have read the terms and conditions Please tick this box to confirm you have read the terms and conditions I agree