REQUEST FOR NAVARRE CERT ASSISTANCE
AT A COMMUNITY EVENT |
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Shaded areas must be completed at the time of submission. Other information must be provided at least five days in advance of the event to info@navarrecert.org,
or Navarre CERT, 8668 Navarre Pkwy, #362, Navarre, FL 32566, or a board member. |
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Your name:
Your e-mail address:
Your organization: |
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Your event |
Name
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Location
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| Your contact before the event |
Name
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e-mail
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Phone
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Alternate phone
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DAY 1 |
DAY 2 |
DAY 3 |
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Dates (1 per box) |
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| Times |
From |
To |
From |
To |
From |
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| Event times |
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| Times CERT is needed |
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| Vendor set-up times |
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| Times vehicles are prohibited on venue/ route |
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Navarre CERT does not substitute for SRSO deputies or EMTs/paramedics. We will assist and supplement them as they request. Please describe arrangements you have made with the SRSO, emergency medical services and/or private security, including numbers, times, responsibilities and the name of the organization providing the services.
Do you have event insurance that will cover Navarre CERT volunteers?
Yes
No
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Santa Rosa Sheriff's Office |
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Emergency medical services |
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Private security |
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Please describe what you want Navarre CERT to do at the event.
We get many requests and cannot agree to every event. If you
simply need parking lot attendants, please find volunteers from your own
organization or hire somebody.
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| Contact(s), on-site, during the event |
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DAY 1 |
DAY 2 |
DAY 3 |
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Name(s) |
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Cellphone number |
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Times |
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We will need a diagram or map of the venue/route as early as possible, but no less than a week before the event.
For festival or fair types of events, include the following:
- Boundaries of the grounds
- Layout of booths, tents, vendors, etc., by number or other designation
- Clearly marked locations of barricades and vendor access points
- Identification of where Navarre CERT can set up our information booth and incident command tents. For the incident command center, we need an area 10' by 10' with an adjacent area large enough to park a van or trailer, which will stay on site during the event.
For parades, include the following:
- The exact parade route, showing street names
- The location where parade participants will be staged to begin the parade
- Where participants are expected to go after the end point of the parade
- Clearly marked locations where CERT personnel will be stationed
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| Please describe any ground rules for the event. E.g., what vehicles allowed onto the site/route during the event? May event attendees bring coolers or picnic baskets? Bicycles or skateboards permitted? Etc.
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The form processing script for this form supplied by www.tectite.com.
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