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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. - - 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. Pg 2