Event Application Form

This form is an application only. You will be notified in writing when your event application has been processed. Applications must be submitted at least eight (8) weeks prior to your event.

Organiser’s Details

Name of event

Applicant/organisation

Contact Person (if different from above)

Email address

Organiser’s Details
Event organisers are to provide an event timeline detailing all information relevant to the event: e.g. set-up and clean-up times, road closure times, erection of marquee times etc. The timeline is to be submitted to the local council three (3) weeks prior to the event.

Date

Actual Set-Up Date

Actual Set-Up Time

:

Actual Event Start Date

Actual Event Start Time

:

Actual Event Finish Date

Actual Event Finish Time

:

Actual Completion of Clean-up Date

Actual Completion of Clean-up Time

:

Commencement Date of Advertising

Proposed Venue Details: (e.g. name of reserve, building or public open space)

Event Description (e.g. sporting, commercial, entertainment)

Entertainment - brief details (number of stalls I products I entertainment - bands, amplified music I animals I activities I farm machinery I rides)

Primary Purpose of Event. e.g. fundraiser for community group

Will alcohol be available/consumed on site?

Yes

No

Will food be available

Yes

No

Shire staffing requests?

Details of any tents, marquees, stages to be used for the event (including size dimensions)

Details of any road closures or use of roads for the event

Expected Attendance

Maximum number of people expected at any given time

Anticipated total number for entire event

Expected Attendance

Target audience e.g. youth, adult, family etc.

What arrangements have been made to meet the needs of people with disabilities?

Post event transport: What are your contingency plans for clearing patrons after the event, e.g. availability of taxis, buses etc.

Have you ever conducted this event before and if so, when I where was it held?

Event Facilities

Power supply details: (generators or existing)

Water supply details: (scheme or rainwater)

Toilets available:

Male closets

Female closets

Urinals

Hand wash basins

Event Fees
Refer to the relevant local government to ascertain what fees will be applicable.

It is important to attach any other relevant information that can assist in assessing your event

Acknowledgement
I,
as the event organiser, seeking approval to host an event acknowledge that the information and completed actions in my application are true and correct. I will ensure that appropriate liability and other insurances are in place for the activities to be conducted. I understand that the Event Application Package is a guide and has been compiled according to a number of statutory requirements. There could be other requirements that exist outside of the package and that as the event organiser I am responsible.

Signature

Date

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