Name of event:

Type of event:




If Other, please explain:
Location:
Is the event sponsored by WCU?



Event Date:
Start Time:
End Time:
Estimated number of people to attend:
Any special requests? (i.e. Location of ambulance):
   
Your name:
Your title:
E-mail address:
Phone number:
 

We will always attempt to honor special requests. However, it is up to WCU EMS to determine the best way to serve the students, faculty, staff and guests of the campus. Please keep in mind that WCU EMS can be paged out to respond elsewhere on campus at any time.