Life Lion Public Relations Request Form
Life Lion Critical Care – Air
Life Lion Emergency Medical Services – Ground
I have read and agree to the following guidelines for helicopter appearances.
The on-site contact for the day of your event needs to have recently completed our landing zone training course and will be required to secure the area and appropriately brief our crew on all potential obstacles, hazards, and known UAV/drone activity.
Requesting Organization Name
Requesting Organization Address (Include street name, city, state and zip code)
Phone - Work
Phone - Home
Requesting Organization type (Choose one of the following that best represents your organization type)
Community Group Event
If other is selected, list your organization type here
Choose one of the following event types)
911/EMS Ambulance Contractual Standby
911/EMS Ambulance Display/Presentation
Landing Zone Safety Presentation
Pediatric Critical Care Ambulance Display/Presentation
If other is selected, list the event type here.
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Time of Event
Date of Event
Length of Event
Number of People Expected
Event Location Details
District Of Columbia
Northern Mariana Islands
Event Location Details: (Cross streets, nearest intersection, GPS coordinates, radio frequency and contact.)
Event Day Contact Information
Please provide contact information for the day of your event. Please include a cell phone number for contact the day of the event.
Contact Cell Phone Number
Event Day Drone/UAV Flight Activity
Please provide information on known or anticipated Drone/Unmanned Aerial Vehicle flight activity in the area of your event.
Contact/Operator Cell Phone Number
Other Known Details
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