Spiedie Fest & Balloon Rally Emergency Medical Services Volunteer Application Form

EMS volunteer opportunities are limited to those who are currently NYS certified as CFRs, EMTs, or AEMTs.

By completing and submitting this form, you indicate that you understand and agree that:

  • The acceptance of this application is completely at the discretion of officials designated by the Spiedie Fest & Balloon Rally.
  • That you are volunteering as a member of the EMS agency you have listed below, and that your participation in this event is therefore subject to the approval of that agency.
  • That specific roles and assignments will made by event Medical Command, and you agree to contribute the hours detailed below to providing EMS coverage, as assigned, for the best possible EMS coverage for the event.

Refer to the Spiedie Fest website for up-to-the-minute information on the schedule of events at this year's Spiedie Fest. Thank you for your interest in helping with EMS at the Spiedie Fest!

EMS Certification Information
CFREMT-BEMT-IEMT-CCEMT-P
What is your NYS EMS Certification Level?
SmallMediumLargeX-LargeXX-LargeXXX-Large
Please select your T-shirt size from the choices given:
Friday 8/6/2010

If you wish to volunteer on Friday 8/6/2010, please list your starting and ending times on that date (in 24 hour time). If you do not want to volunteer on this day, leave this section blank.

Saturday 8/7/2010

If you wish to volunteer on Saturday 8/7/2010, please list your starting and ending times on that date (in 24 hour time). If you do not want to volunteer on this day, leave this section blank.

Sunday 8/8/2010

If you wish to volunteer on Sunday 8/8/2010, please list your starting and ending times on that date (in 24 hour time). If you do not want to volunteer on this day, leave this section blank.


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