Stand By Events

We provide stand by medical services at events throughout Utah. If you would like us to assist with your event, please fill out the form below.

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Name of Event

Description of Event

Address of Event

Address Line 1

Address Line 2

City

State

Zip Code

Maximum Number of People Attending at Any One Time.

Event Date

Event Start Time and End Time

Crew Arrival Time

Estimated Crew Dismissal Time

Type of Coverage

Any Special Instructions

Your Contact Information

Your Name

First

Last

Phone Number

Contact Information of Person on Site on Day of Event

Name

First

Last

Cell Phone Number

Billing Information for Requesting Organization

Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Non-Profit Organization

If this a non‐profit organization please include your non‐profit information if you would like to be considered for a discount

Message

You will be contacted by a Gold Cross Ambulance representative by phone or email to confirm your event, give a cost estimate, and obtain more information if needed. Submitting this request does NOT guarantee coverage.

Unless donated all standbys will have a minimum charge of 3 hours. No charge will be assessed if a standby event is cancelled at least twelve hours in advance.

The scheduling department can be reached at 801-975-4102 or by email scheduling@goldcrossambulance.com.