E012 - EOI Event Entertainment Applicant Details Business Name*This field is required. * Required Field. Contact Person*This field is required. * Required Field. Address*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Alternate Contact Number Email Address*This field is required. * Required Field.* Please enter a valid email address. Would you like to be on the City's Event Entertainment database? YesNo We will send you event entertainment opportunities for CGG organised events. At times, we may also send you event entertainment opportunities from external event organisers. Applications for external events are entirely managed by the external event organiser, NOT by the City of Greater Geraldton. Event Details Event you are applying for Entertainment Details Please select the category of your Entertainment: Select an Option Arts/Craft/Puppetry Dance Groups Kids Entertainment (Bouncy Castles/Face Painting etc) Musician/Band/Singer Roving Entertainment Workshops Other If selected Other, please provide more details. Provide a brief description of your Entertainment Outline any Fees and Charges for your service Equipment (Musicians) Outline the Equipment you will be bringing along: Bass GuitarsDrum KitGuitarsKeyboardsVocal/SingersOther If selected Other, please specify Please specify the quantity of each equipment you will be bringing along Power and Area Are you providing your own generator? Select an Option Yes No NA Do you require a distribution board? Select an Option Yes No NA Do you require access to CGG Generator Select an Option Yes No NA Do you have a: Select an Option Marquee Truck Trailer Van Size of Marquee/Truck/Trailer/ Van Total Area required Documentation I confirm that I have attached a copy of my Public Liability Insurance? Select an Option Yes No NA Expiry Date for this policy? I can confirm that my electrical equipment is tested in compliance with WA OSH regulations? Select an Option Yes No NA Where relevant - I confirm that I have the required licence to perform in public? Select an Option Yes No NA Is copy of your Safety Action Plan attached? Select an Option Yes No NA Please refer to the Department of Mines, Industry Regulation and Safety website, you can download a Safety Action Plan template. Is a copy of your Working With Children card attached? Select an Option Yes No NA If you responded NO to any of the questions above, feel free to contact the City's Event Team via email events@cgg.wa.gov.au or telephone (08) 9956 6600 to discuss further, we’re here to help. File Upload Please attach all requested documentation: Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Terms and Conditions I can confirm and agree that: I have read and understood this disclaimer and am signing it to confirm that I voluntarily agree to legally bound by all its content, in consideration for me to be permitted to participate in the event. I voluntarily assume all risk of (including but not limited to), physical injury, loss of life, economic loss, or loss, damage or destruction of my property, which may be caused or contributed to in any ways as a result of my attendance or participation in the event. I will not threaten, commence or continue with any claims, demands, actions, law suits or other proceeding against the City of Greater Geraldton, any members of the Events Team, or any other individual or entity involved in organising any aspects of the event, in relation to any physical injury, loss of life, economic loss, or damage or destruction of my property, which may be caused or contributed to in any way as a result of my attendance at, or participation in, the event, regardless of how that injury, loss, damage or destruction occurs, whether as a result of negligence, breach of contract, breach of any statutory duty or otherwise. This disclaimer may be pleaded as a complete bar to any types of claims, demands, actions, suits or other proceedings by me, or on my behalf as described in paragraph 3. I will comply with any Covid-19 regulations in place at the time of the event. I will not use any banned plastic items in order to comply with WA's Plan for Plastics. In the event of my activities involving children or youth, I shall ensure compliance with the Council Policy - 4.17 Child Safety and Welfare. I recognise that the City is the event manager of the event and shall follow all event safety and emergency management directions, and any other reasonable directions by the City required to ensure the safe and successful delivery of the event. We understand that our application may not be approved, if our event entertainment; Has alcohol promotion as the main purpose; Promotes tobacco and gambling; Is discriminatory in nature; Involves endangered animals or cruelty to animals; Threatens ecologically sensitive areas; and Promotes participation in illegal activities. I agree to the Terms and Conditions listed above? YesNo Is the Applicant under the age of 18 years? YesNo If they are under the age of 18, please provide Parent/Guardian Consent Adult Contact Number I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application.*This field is required. Please tick here Signature*This field is required. * Required Field. The City of Greater Geraldton collects the personal information you provide in relation to the EOI Event Entertainment form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at privacy@cgg.wa.gov.au. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. * Required Field.* Please enter a valid Email Address Type the code from the image: Do not fill this textbox.