Download Performance Name - Moonee Valley City Council

2017 MOONEE VALLEY FESTIVAL
PERFORMER / DEMONSTRATION / WORKSHOP APPLICATION FORM
Organisation / Performance group: ______________________________________________________________
Contact Person: ___________________________________
Position: _________________________________
Address: ____________________________________________________________________________________
P/Code: ______________Phone: _______________________ Mobile: __________________________________
Email: ________________________________________________________________________________________
Web Address:
Facebook page
Based in Moonee Valley Municipality? _________________Is this organisation not-for-profit? _____________
Have you previously been involved with the Moonee Valley Festival?
Yes
PREFERRED PERFORMANCE AREA (Performances will be allocated at the discretion of the festival team)
Main Stage
Cooking Demonstration
Community Stage
Workshop*
Kids Stage
Health & Wellbeing Expo Demo Area*
*Please note demo areas are located on grassed surfaces.
Bar Stage
Your fee and performance details (Inc type: e.g. Orchestra, Choir, Dance, Workshop)
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Will you require chairs? If so how many & type (I.e. Armless or standard)__________________________________
If a group performance, how many in the group? ____________________________________________________
An audio technician will be provided to all stages. A portable PA with CD player will be available at the demo areas.
Please provide below the technical specifications of your performance:
Total duration of performance:
5 minutes
10 minutes
15 minutes
Dressing Room:
20 minutes
30 minutes
Other ___________
A marquee will be provided next to the Main Stage, Kids Stage and Community Stage, though it is
advised that performers arrive in costume ready to perform.
Cooking Demonstration: Please state what you will be demonstrating:
__________________________________________________________________________________________
__________________________________________________________________________________________
We provide the following:
Two Kitchen Benches
1 Oven
1 Bench includes gas hob cook top
2 back tables for storage.
Overhead Mirror, full Gas battle, power leads.
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Cleaning equip--‐ Urn / Kettle, Hand washing
station – meeting HACCP requirements.
PA system, MC & Hostess --‐ assistant
Condiments, tasting cups, spoons, tasting
paraphernalia, set of pots and pans.
For the marketing and promotion of the Festival and your performance/workshop/demonstration please
provide for the following information:
Performance Name: _________________________________________________________________________
Description of performance/workshop (Please provide a blurb written in third person, max 80 words.)
___________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Where possible please provide:
A Promo image (min 2MB) to be provided electronically.
Video link ______________________________________________________________________________
Webpage and Facebook page links. Please specify which your preferred site to direct public traffic is.
________________________________________________________________________________________
If you are not based in Moonee Valley would you be willing to travel to Moonee Valley for press opportunities
prior to the event?
________________________________________________________________________________________
Please provide the most appropriate for promotional enquiries.
Name:____________________________________ Phone:_________________________________________
Email:_____________________________________________________________________________________
PUBLIC AND PRODUCT LIABILITY
All groups are required to have Public Liability Insurance (at least $10M cover). A copy of your Certificate of
Currency must be attached. This must state “Moonee Valley City Council” as an interested party.
If your community organisation does not hold PL Insurance, Council can arrange day cover on your behalf for a fee
of $40.00 (Inc GST). The insured shall bear the first $250 of each and every claim or series of claims arising out of
any one occurrence.
Our organisation has appropriate PL Insurance cover
Our organisation will require PL Insurance cover under Council
PUBLIC AND PRODUCT LIABILITY
All participants are required to have Public Liability Insurance (at least $10M cover). We require a copy of your
Certificate of Currency stating Moonee Valley City Council as an “Interested Party”. All participants must carefully read
and sign the following Indemnity and Insurance clause. Please contact us if your organisation does not hold Insurance
I confirm my participation for the 2017 Moonee Valley Festival and agree to indemnify and keep indemnified, the
Moonee Valley City Council (MVCC) and its servants and agents from all actions, costs, claims, charges, expenses
and damages occurring in connection with any activity/event, negligent act, error or omission at the event. My liability
to indemnify MVCC will be reduced proportionally to the extent that any act or omission of MVCC, its servants or
agents contributes to the loss or liability. I agree to keep current during the period of the activity/event a liability
Insurance Policy, subject only to conditions and exclusions approved by MVCC. I agree to provide cover in respect of
claims for personal injury or property damage arising out of negligence. The amount of cover will be for no less than
$10,000.00.
Authorised by: _______________________
(Your Signature)
________________________
(Please Print)
/
/
(Date)
CHECKLIST
Certificate of Currency for Public Liability Insurance attached (Stating “Moonee Valley City Council” as
interested party). Please contact us if you do not hold PL Insurance.
I have read, understood and signed the above PL Insurance Indemnity clause.
Applications and relevant documents to be sent by Friday 16 December 2016 to:
Attention: Moonee Valley Festival
Moonee Valley City Council,PO Box 126, MOONEE PONDS, VIC 3039
Please don’t hesitate to contact the festival office on 8325 1862 or via email [email protected]
Please note there is no guarantee of securing a performance at the festival however we will do our best to
accommodate you. All applications will be considered by Moonee Valley City Council. Unsuccessful applicants will be
advised in writing. Notification of non-attendance is required. Council reserves the right to cancel the event for
extreme weather conditions and accepts no responsibility for adverse weather. Should the event be cancelled no
refunds will be given for this reason.
Thank you for your application.
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