= Required Fields Online Form - Event Application Form Completion of the Event Application Form is the first step in gaining approval for your event within the Shire of Gingin. For larger events, it is recommended that the Event Application Form be submitted at least ten weeks prior to your event; for smaller events we recommend at least four weeks notice. You will be advised of any conditions of approval and a meeting can be scheduled to discuss your event application and determine what further permits may be required. This is an application form only. Bookings are not confirmed until written approval has been granted by the Shire of Gingin and payment of all fees have been received by the Shire. Advertising and promotion of your event must not occur until written approvals have been issued. Online Event Application Form Applicant Details Name of Applicant * Name of Organisation * Address * Best Contact Number * Email Address * Event Details Event Name * Event Date * Event Start Time * Event End Time * Set Up Date Set Up Time Clean Up Date Clean Up Time Venue Requested Please Select a Venue * Select an Option Lancelin Back Beach Lancelin North Beach Wangaree Park, Lancelin Harold Park, Lancelin Lancelin Dune Area Granville Civic Centre Gingin Sound Shell Granville Park Bendigo Complex Gingin Equestrian Grounds Woodridge Hall Key Biscayne Park Ledge Point Beach Gabbadah Park Other If you selected 'Other' for the above question, please specify your requested venue Do you require water to be available? (Not available at all reserves) * YesNo Do you require toilets or change rooms to be available? (Not available at all reserves) * YesNo Have you organised extra toilets if necessary? * YesNo Do you require power to be available? (Not available at all reserves) * YesNo Do you require power and reticulation to be marked on the reserve? * YesNo Will there be overnight camping? YesNo If yes, please provide details:: Events Held on Water YesNo Events Held on Water Please note that if your event is to be held on the water, then permission must be obtained from the Department of Transport – Marine Division. Have you obtained permission? eg: from DoT, Water and Rivers, etc)? If you have obtained permission, please upload a copy of the permission. Further Details Description of event (sporting, commercial, entertainment) * Entertainment (number of stalls / product / entertainment-bands / activities / amusements / rides) * Primary purpose of event? FundraiserCommercialNon-CommercialCommunity If you are a not-for-profit organisation please supply documentation to support this. What equipment are you installing at the event? (for example: stages, marquees, stalls) * Please provide a site map showing placement of equipment Will any music be performed or played at the event? (APRA, PPCA, etc licence may be required) * YesNo How many people approx. do you anticipate will be at your event? Participants * Spectators * Are you charging an entry fee for the event? * YesNo Are you providing first aid for the event? * YesNo Will there be food at this event? * YesNo Will food be SoldProvided Free of ChargeProvided for a DonationBYONot Applicable Will there be alcohol at this event? * YesNo Will alcohol be SoldProvided Free of ChargeProvided for a DonationBYONot Applicable Do you plan to fence off any areas for the event? * YesNo Have you organised extra bins if necessary? * YesNo Have you contacted the local emergency services? (eg: Fire Brigade, St John Ambulance, Police) YesNo If yes, please provide details:: Have you organised security guards if necessary? * YesNo Will you be using pyrotechnics at the event? * YesNo Do you require the use of parking bays? * YesNo Will you require public roads to be closed? This could mean any eventuality that affects traffic and traffic flow (including pedestrian traffic) YesNo Please fill out the Road Closure Application Form and return to mail@gingin.wa.gov.au. If you selected 'Yes' for the above question, a Traffic Management Plan must be submitted as part of your condition of approval. Event Trailer Do you wish to utilise the Shire's Event Trailer? * YesNo Please supply any additional information or requirements for your event: Event Application (Part 1) Check List Event Application Form Site Map I/We have read, understood and agree to abide by the conditions of hire. I/We agree to indemnify the Shireof Gingin against all actions, claims, demands, or costs arising out of connection with the hire of the facility. Name * Signature (type your name) * Date * NOTE: The information contained in this form determines the approval and, if necessary, conditions of approval for your event. If for any reason the information changes after approval has been given, you MUST discuss these changes with the Shire’s Community Development Department as further approvals may be required. Get Audio CodeType the code from the image
Shire of Gingin Offices Gingin 7 Brockman Street Gingin WA 6503 T: (08) 9575 5100 F: (08) 9575 2121 E: mail@gingin.wa.gov.au Lancelin 255 Vins Way Lancelin WA 6044 T: (08) 9575 5155 F: (08) 9575 2121 E: mail@gingin.wa.gov.au