CEMTP Facility Use Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is to make requests for use of the Cary Area EMS (doing business as Community Emergency Medical Training and Preparedness) facility at 107 Medcon Ct., Cary, NC 27511.

Here is a link to important facility use information: https://docs.google.com/document/d/117dy-It4e3WZi5vz1l1AWows3IUCvAYYxD1-DjaxE1I/edit?usp=sharing. You are responsible for the information contained in the document.

We reserve the right to decline any request.

All questions should be directed to Justine Hollingshead, Board Chairperson for Cary Area EMS (doing business as Community Emergency Medical Training and Preparedness) via email at jhollingshead@caryems.com.

Email *

Prior to submitting your facility use request form you need to accept and acknowledge the terms of usage that are linked above. This includes that there could be a fee for the facility usage. *

I agree to the facility use terms.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cary EMS. Report Abuse

Forms