Standby Request

Due to issues with the form system, please email the following information to retain a standby crew to 2nd Asst. Chief Devin Howell ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it ) until further notice. We hope to have our form system up and running in the near future.

 

Thank you for your interest in Harpur's Ferry SVAS. Although there is no fee associated with the use of Harpur's Ferry, any donation your organization would like to make would be greatly appreciated. Please use this form to request Harpur's Ferry for stand by coverage.

NOTE: This form MUST be completed at least 2 weeks prior to your event or else we may not be able to provide coverage.

 

Name:
Email Address:
Contact Phone Number:
Organization/Group Name:
When and where is the event?
How many people do you anticipate attending:
What resources do you need? (IE Ambulance, Flycar, Gator, other)
Do you require ALS?

What risks/hazards do you anticipate that lead you to request Harpur's Ferry?