Activity / Workshop Providers Expression of Interest

2018 ACTIVITY/WORKSHOP PROVIDER EXPRESSION OF INTEREST

Name of Activity / Workshop Provider*
Type of activity/workshop*
Name*
First Last
Phone*
Phone
Mobile Phone
Email 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 Insurance
I/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 group
Requirements*
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
CAPTCHA
I 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 day
Signature*
Date*