Register Your Fundraising Activity Your detailsName* First Last Address* Street Address City State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Postcode Email address* Mobile number*Name and reference of Variety event you are fundraising for (if applicable)If you are organising a fundraiser on behalf or your workplace, community group, sporting club or other organisation, please provide their details below.CompanyABNEvent detailsEvent/ Activity Name*Start date* Date Format: DD slash MM slash YYYY End date* Date Format: DD slash MM slash YYYY Where will the event/activity take place?* Street Address City State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Please provide a description of the event/activity. What is the expected revenue? What are your expected expenses? (required information)*Expected number of attendees or expected sales*Is there a ticket price?*YesNoN/ATicket price (inc GST) $Will you be producing any advertising material inc: registration forms, posters, etc?*YesNoPlease attach a copy of any advertising material Drop files here or **ALL MATERIAL MUST BE APPROVED PRIOR TO BEING MADE PUBLIC** Alternatively, you can email any advertising material to [email protected] - please quote your event name as the reference.Raffles Are any raffles being conducted?*YesNoRaffle ticket price*Please List Raffle Prize Details*InsuranceDo you require this event/activity to be covered by Variety QLD Inc. Insurance?*YesNoPlease note if insurance is required you will need to complete the Risk Assessment.Risk AssessmentNumber of people working at the event/activity*Please specify * Organisers * Volunteers * Variety StaffWill children be attending the event?*YesNoWill event organisers have a current Blue Card?*YesNoWill food be served at the event?*YesNoWho is preparing the food?*ie: Volunteers / Community Group / Catering Company Other Does the event involve physical activity?*YesNo i.e. golf day, fun run etcPlease describe the physical activity*Does the event involve driving a vehicle?*YesNoMotor bike / 4WD / Car What type of vehicle?*Will alcohol be served at the event?*YesNoIs the event venue licensed?*YesNoWill you require a community liquor permit?*YesNoPlease note there is an online self-assessment tool that can assist you with finding out whether a liquor permit will be required, located at www.olgr.gov.au/forms/clp Are attendees allowed to provide their own alcohol?*YesNoHow will underage attendees be distinguished from people over the age of 18 years?*Will those serving or selling alcohol hold a current RSA*?*YesNo* Responsible service of Alcohol Will appropriate responsible service of alcohol notices be displayed?*YesNoWill there be any mechanical and/or animal rides present?*YesNoIf yes, will the operators of the mechanical and/or animal rides have their own Public Liability Insurance?*YesNoPlease attach copy of Operators Public Liability Certificate*Will there be any entertainment?*YesNoWill there be a dance floor?*YesNoWill there be a mosh pit?*YesNoWill there be any temporary staging or seating structure erected?*YesNoWill there be any fireworks?*YesNoWill there be first aid personnel there?*YesNoWho will the first aid personnel be?*Will there be security?*YesNoWho will be providing the security services?*Ie: Volunteers / Contractors - please provide details * Please note contractors will need their own insurance.Will there be any police present?*YesNoWill there be any waterborne activities?*YesNoPlease describe the waterborne activities*Will cash be collected at the event?*YesNoWill media be asked to attend the event?*YesNoOther SupportDo you need to borrow any Variety feather flags or pull-up banners? Note: these may already be in use by other supporters and one of our team will be in contact to confirm availability. It is your responsibility to collect and return to the office.YesNoDo you need any other Variety promotional items for your event/activity, such as balloons, raffle tickets, stickers or flags? If so, one of our team will be in contact to discuss what we can provide.YesNoThe answers provided to the questions above are true and correct. I will notify Variety Queensland Incorporated of any changes to the event that will have an impact on any of the above questions. Terms and Conditions* I agree to the Variety Fundraising terms and conditions Submit event details Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.