Form

Arizona and New Mexico Preparedness, Tabling, and Community Event Request

Thank you for your interest in partnering with the American Red Cross! Please use this form to submit requests related to our Preparedness programs, Biomedical tabling opportunities, or if you would like to request Red Cross presence at an upcoming community event (tabling or otherwise).

Please note: To allow us to continue our ongoing service delivery within the region, all requests must be made with 30 days notice. This submission is NOT a confirmation of our participation. A Red Cross representative will reach out to you to confirm our participation for your event.

This form should only be used to request Preparedness presentations and training, Biomedical tabling events, and/or requesting general Red Cross presence at a community event.

To host a Blood Drive visit: Redcross.org/Give-Blood
For CPR and First Aid training for Individuals and Organizations visit: Redcross.org/Training

Tell Us More About Your Request

What type of event are you requesting?

Organization Name

Are you a current partner or currently affiliated with the American Red Cross?

Estimated Number of Participants

Language of Presentation

Red Cross Referral, if applicable (List name)

Event Specifics

If you are unsure of the date/time, please pick a date in future and make a note in the last section of the form.

Contact Name

Phone

Event Location Type

Event Address (please include city and state)

State

Event Date

Event Time

Anything else we should know now about your event?

Cancel