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Page 1: Web viewWord Format, listing you or your group name followed by 5 – 10 bullet points of interest. The Biography will be used to gather information when writing

Performer (Stage, Non-Stage or Busker) Application FormBuderim Street PartySaturday 13 August 2016. 6:30 pm to 9:30 pm

Application and Indemnity Form accompanied by a copy of the relevant Insurance Policy if applicable MUST be received by 29th July 2016.

Application & Indemnity Forms are available on www.buderim.com/streetapp

GROUP / PERFORMER NAME: _______________________________________________________

CONTACT DETAILS:

Main Contact Name:_____________________________________________________________

Address:______________________________________________________________________

____________________________________________________________Postcode: _________

Email: _______________________________________________ Mobile No: _______________

OTHER MEMBERS (if applicable - for back-up contacts):

Name: ______________________________Mobile Number: ______________________

Name: ______________________________Mobile Number: ______________________

Name: ______________________________Mobile Number: ______________________

Name: ______________________________Mobile Number: ______________________

INSURANCE DETAILS: Do you have Public Liability Insurance? YES / NO – (please circle) If no, suitable arrangements can be made.

AREA REQUIRED (if not on stage): Width: __________________ Depth: ___________________

SPECIAL REQUIREMENTS: Please describe any requirements eg. electricity supply for non-stage groups, which the organisers need to consider

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Sites and electricity outlets for Non-Stage groups are limited and are subject to confirmation by the Buderim Street Party Organisers. Early application is recommended. A submitted application is not a guarantee of acceptance.

Buderim Street Party 2016

Page 2: Web viewWord Format, listing you or your group name followed by 5 – 10 bullet points of interest. The Biography will be used to gather information when writing

AUDIO/VISUAL CLIPS: Please provide us with any links to audio/video files of your work. These files will then be assessed and possibly used as publicity material on websites promoting your performance. By providing these links, you agree to allow us to use the material for any publicity purposes.

1. _________________________________________________________________________

2._________________________________________________________________________

3._________________________________________________________________________

PHOTOGRAPHS: For publicity, you may send 5, professional looking images to the address below. These pictures may or may not be used for publicity. By sending these images you are agreeing for them to be used as publicity material. [email protected] - SUBJECT LINE: RE: BSP PROMOTIONAL IMAGES – NAME

BIOGRAPHY(S): Please attach a biography in Word Format, listing you or your group name followed by 5 – 10 bullet points of interest. The Biography will be used to gather information when writing scripts for presenters. Please make sure all information is relevant, accurate and informative, remembering to use the Street Party date of August 2016 for ages of performers if given.

PUBLICITY: Are you or your group willing to appear as needed on radio, television, magazine etc. for Buderim Street Party publicity? YES / NO (please circle)

TERMS AND CONDITIONS (STAGE ARTISTS)1. You are to be on site by 6.15pm at the latest. A “green room area” will be available for you to relax

in while waiting for your appearance. Whilst we will give you a guide as to the time you will be called to stage, this will be approximate and you may be required earlier. Please have your mobile phones on and remain in the artist’s area.

2. As Burnett Street between the two roundabouts will be closed between 6:00pm and 10:00pm, except for Emergency Services, there will be NO vehicle movements allowed within the event site between 6:00 pm and 10.00 pm NO EXCEPTIONS!

3. The Buderim Street Party is a non-profit event organised by the Buderim Lions Club and the Rotary Club of Buderim. It is acknowledged that all profits made by the organisers at the event will go back into the community or will be used to support community events.

TERMS AND CONDITIONS (NON - STAGE ARTISTS AND BUSKERS)1. You are to be set up and performing by 6:30 pm and perform until 9:30 pm if possible, to maintain

the festive atmosphere of the event. NOTE. As Burnett Street between the two roundabouts will be closed between 6:00pm and 10:00pm, except for Emergency Services, there will be NO vehicle movements allowed within the event site between 6:00 pm and 10.00 pm NO EXCEPTIONS!

2. Marquee if erected MUST have leg weights. Spikes of any type cannot be used.

3. The Buderim Street Party is a non-profit event organised by the Buderim Lions Club and the Rotary Club of Buderim. It is acknowledged that all profits made by the organisers at the event will go back into the community or will be used to support community events.

Applicants MUST include a copy of their Public Liability Insurance Certificate of Compliance if applicable with this application.Please e-mail your completed application to: [email protected] and like our page - facebook.com/buderimstreetparty

I CONFIRM THAT I HAVE READ AND ACCEPT THE APPLICATION TERMS AND CONDITIONS FOR THE BUDERIM STREET PARTY 2016.NAME: ___________________________________________________________________________

PERFORMING NAME: ______________________________________________________________

SIGNATURE: _________________________________________________ DATE: ______________For your reference, please keep a copy of your application(s)

Buderim Street Party 2016