UW CRT Coverage Request Form



If you would like UWCRT attend your event, please fully complete and submit this form. Note that we require minimum 14 days in order to process your request and arrange for trained first aid responders to be present at your event.

UWCRT coverage is provided free of charge as a Federation of Students Service. We are happy to provide first aid coverage at your event subject to approval by the Service Coordinators and the Federation of Students. While we can cover almost all events on campus (and in some cases, off-campus events), we recommend that our assistance only be requested for events that pose a risk of injury, sickness or involve alcohol consumption.

If you have any questions please contact the Director of Scheduling at crtscheduler@gmail.com.

Name of event:

Organization name (i.e. the name of the club/service/entity organizing the event):

Name of event organizer:

Email address of event organizer:

Phone number of event organizer:

Event location (please describe all locations where this event will be held):

Expected attendance:

Event date (e.g. April 20 2010):

Event start time (e.g. 9:00 AM):

Event end time (e.g. 9:00 PM):

Please provide a brief description of the event. Also mention any anticipated risks that we should be aware of (alcohol being served, sports activities, other hazards etc):

Other agencies attending (e.g. Campus Police, etc...):

I guarantee the accuracy of everything submitted above.