E005 - Event Stallholder Application Applicant Details Business Name*This field is required. Contact Person*This field is required. Address*This field is required. Telephone Number*This field is required. Alternate Contact Number Email Address*This field is required. Event Details Event you are applying for: Australia DayChristmas On The TerraceBoth (Australia Day & Christmas On The Terrace)Other If other, please provide more information: Would you like to be on the City's Stallholder database? YesNo We will send you stallholder opportunities for CGG organised events. At times, we may also send you stallholder opportunities from external event organisers. Stallholder applications for external events are entirely managed by the external event organiser, NOT by the 91影视. Stallholder Details Type of Stall: Select an Option Information Stall - No Selling: $23.00 Community Stall (Not-for-Profit) - Selling: $56.00 Commercial Stall - No Power: $66.00 Commercial Stall - With Power: $132.00 If you selected: Community Stall (Not-for-Profit) - Selling, Commercial Stall - No Power, Commercial Stall - With Power, please fill in the following information: Item 1 Item 1 RRP ($) Item 2 Item 2 RRP ($) Item 3 Item 3 RRP ($) Item 4 Item 4 RRP ($) Item 5 Item 5 RRP ($) Fees For Christmas On The Terrace Stallholder applications all fees are waived. For all other Event Stallholder applications, including Australia Day, fees are applicable for each application. Once the City's Event team has reviewed your application and received all the required Supporting Documentation, an invoice will be sent for payment. Describe your stall (what are your products, who is your target audience, prefered location, etc).*This field is required. Preference for location of your stall - please note that your requested stall location cannot be guaranteed. Also include additional requirements of stall - can't be in direct sun dues to food safety reasons, early bump-in, etc. Logistics Please select the option that applies to your stall (you can select more than one option): Stall with MarqueeStall with no MarqueeStand-alone Food Truck (i.e. ice-cream van, no additional trailer)Vehicle Towing Trailer (i.e. your car tows your trailer that you serve from and then your car is remove once in location) If you selected Stand-alone Food Truck or Vehicle Towing Trailer, which side do you serve from? Select an Option Driver's side Passenger's side Other If other, please provide more detail: If you selected Vehicle Towing Trailer, does your vehicle need to stay attached to your trailer? YesNo Please supply any images of your set-up, you can attach copies at the end of your application before submitting. Size of Marquee/Truck/Trailer/Van?*This field is required. Total Area required*This field is required. Do you require a vehicle to bump-in and out or do you use a trolley?*This field is required. Select an Option Trolley Vehicle Other If you selected other above, please provide more detail: Do you have facilities for Card payments?*This field is required. YesNo Is power required to operate your stall? YesNo Power info Power will not be supplied for minor lighting/fairy lights and EFTPOS machines. Please use battery/solar operated lights. Power will only by supplied if it is essential to your stall (ie. food van, if demonstration of your products requires power). Are you using your own generator? If YES, no additional power will be supplied. YesNo If power is required: How many 10amp outlets do you require? How many 15amp outlets do you require? How many 32amp outlets do you require? Electrical Requirements Lighting: Please ensure you provide your own marquee lighting for night events. Equipment: You are responsible for supplying your own extension cords, cord covers, and ensuring all cords are appropriately tagged and tested. Power Allocation: The 91影视 will calculate your power requirements using the information you provide. It is essential that you supply accurate details, as this enables the City to allocate generator capacity appropriately. If incorrect information is provided, you may not have access to sufficient outlets during the event. Important Notice: Licensed electrical contractors will be present on-site to inspect all electrical equipment. Please ensure your equipment is tagged and tested prior to arrival. Any equipment not tagged and tested must be rectified on-site at your own expense. Supporting Documentation Insurance Info You will be required to provide current Public Liability Insurance as a Certificate of Currency for your stall. I am: Select an Option Food Stallholder Non-Food Stallholder Please attach Public Liability Insurance Certificate of Currency Max File Size: 30.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Expiry Date for this policy Checklist Change for your Float (to suit your pricing including a lockable money box)Clearly labelled productsDrinking WaterFacilitating for Card PaymentsHand sanitizerMarqueeRubbish Bins (for your own waste)Tagged and tested extension cordsTrestle tables and covers If selected extension cords, please select the date they were last tested: File Upload Please supply any images of your set-up if available Max File Size: 30.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx I will supply my supporting documentation via a Downloadable Link Stallholder Disclaimer I can confirm and agree that: I have read and understood this disclaimer and am signing it to confirm that I voluntarily agree to be 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 proceedings against the 91影视, any members of the Events Team, or any other individual or entity involved in organising any aspect 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 stall: Has alcohol promotion as the main purpose; Promotes tobacco or 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?*This field is required. YesNo Is the Applicant under the age of 18 years? YesNo If they are under the age of 18, please provide Parent/Guardian Consent 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. Collection Notice The 91影视 collects the personal information you provide in relation to the Event Stallholder Application 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: Get Audio CodeType the code from the image