2018 ACTIVITY/WORKSHOP PROVIDER EXPRESSION OF INTEREST Name of Activity / Workshop Provider*Type of activity/workshop*Name* First Last Phone*PhoneMobile PhoneEmail Address* Emergency Contact Name Name Emergency Contact Phone Subscribe to our newsletter. Public Liability*Accepted file types: pdf, jpg, png, gif, doc.Please upload your certificate of Public Liability InsuranceI/We give consent to use the photos for all festival reports & publications Yes No Description of Activity*In not more than 200 words please provide a short biography of yourself or groupRequirements*How much will you charge per session?*How long will your sessions run for?*Are you Registered for GST?* Yes No ABN*Website/Facebook Page CAPTCHAI understand that: 1. This EOI does not constitute acceptance. Final approval is at the discretion of the festival organizing committee. I/We will be notified in due course, whether or not I/we have been accepted. 2. I/We understand that it is my/our responsibility to look after my/our equipment & obtain sufficient personal injury and property damage liability insurance. Africultures Festival shall not be liable for any personal injury and equipment damaged or lost during the festival. 3. I/We give permission to Africultures Festival to take photos and/or videos of my/our performance and Africultures will seek my consent prior to using these photos and/or videos in any of their or their sponsors marketing or promotional publications. 4. I/We understand that religious or political materials are not permitted for promotion at this festival. Dress Code: African dress and colours are encouraged for the daySignature*Date*
