Fundraising Get started Fundraising Resources Ideas and tips Fundraising FAQs Donate Fundraise menu Become a partner Corporate Social Responsibility Ways you can support us Register your Motoring Fundraiser Please note: If you require any assistance completing this form, please contact your relevant event manager.Applicant DetailsFirst Name*Last Name*Email* Mobile Number*Variety Event*Please select which event(s) you are fundraising for SA Variety Bash Variety 4WD Adventure Variety Moto Run Variety Aussie Muscle Car Run Other Car / Bike Number(s)*Fundraiser TypeWhat type of fundraiser would you like to register?* Function / Event Raffle / Lucky Square Activation Other Describe 'other' type of fundraiser*Primary Contact detailsWho will be the primary contact for this fundraiser?*Please provide who will be receiving notifications about bookings and ticket sales, as well as operate as the point of contact for public fundraiser enquiries. *please note these contact details may be listed publicly on the event landing page. Same as applicant details above I would like to setup someone else as the primary contact Alternate Primary Contact detailsFirst Name*Last Name*Email* Mobile Number*Fundraising Event detailsName of Fundraising Event*Event description*Please provide a description of the event / activityStart Date* DD dash MM dash YYYY End Date* DD dash MM dash YYYY Start Time*End Time*Location / Venue*Where will the event / activity take place?Address* Street Address Address Line 2 City Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Event capacity*Total amount of guests able to attend eventIs this event open to the public?* Yes it's a public event No it's a private event Is there a ticket price?* Yes No TicketingTicket Pricing options**eg. Free ticket for team members or sponsors. 50% off for another group of peopleName of ticket typeCost of ticketExtra details about ticket option What ticket holder details do you require for this fundraiser?**Default details: first name, last name, email Do you wish to allow refunds?**up to 7 days before event Yes No Fundraiser MarketingWould you like us to set up a Humanitix Event?* Yes No Will you be producing any advertising material inc: posters etc?* Yes No Upload any advertising assets you have Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 512 MB. Will you be producing the event feature image?**the recommended featured image for our event platform is 1000px (Wide) X 500px (High). Yes I would like some assistance from the Variety SA events team Upload Event feature image / banner Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 512 MB. Upload available assets or inspiration*please submit any graphics you would like us to use. i.e. photos, themes, example from somewhere else you would like us to use as inspiration. Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 512 MB. Inspiration descriptionPlease use this section to describe how you want us to setup your events visuals. Include a theme etc. (ie. Would like the theme to feel like a day at the races.)Raffle Activation detailsName of raffle / activation*Raffle description*Ticket Pricing options**eg. single ticket, ticket bundles 1 for $10 or 3 for $25Name of ticket typeCost of ticketExtra details about ticket option Prizes*Name of prizeValue of prizeSponsors (if relevant)T & Cs for prize InsuranceDo you require this event / activity to be covered by Variety SA Inc. Public Liability Insurance?*Please note if insurance is required you will need to complete the Risk Assessment. Yes No Risk AssessmentNumber of people working at the event/activity*Please specify * Organisers * Volunteers * Variety StaffWill children be attending the event?* Yes No Will there be any mechanical and / or animal rides present?* Yes No Will they be operated by separate third parties or the insured?* Yes No Will there be any market stalls present?* Yes No How many stalls?*Will they be operated by separate third parties?* Yes No Will there be any entertainment present?* Yes No Please advise of the type of entertainment and type of music which will be played*Will there be a dance floor?* Yes No Will there be a mosh pit?* Yes No Will there be any temporary staging and / or seating structures erected?* Yes No Please advise the number of seats*(please note that fold-out chairs are not considered to be 'seating structures') Will there be any fireworks?* Yes No Will there be trained first aid personnel present?* Yes No Name of trained first aid personnel*Will there be police present?* Yes No Will there be security personnel present?* Yes No Will they be* Employees Volunteers Contractors to the insured Provided by a separate entity altogether (e.g. the vebue, local council etc.) Has a risk assessment report been done of the entire event?* Yes No Please upload a copy of the risk assessment*Accepted file types: docx, doc, jpg, jpeg, png, pdf, gif, , Max. file size: 8 MB.If no risk assessment report has been done, will one be done closer to the event?* Yes No Will there be any waterborne activities?* Yes No Please provide details*Do all vendors / exhibitors, amusement operators, performers, contractors and all other service providers require to carry their own Liability insurance?* Yes No Will they note your organisation as principal on their insurance?* Yes No Will there be alcohol at the event?* Yes No Alcohol QuestionnaireName of organisation*Name Liquor Licence is in*Has your Liquor Licence ever been suspended or revoked?* Yes No Please advise why*Are attendees allowed to bring alcohol to your event?* Yes No Are under aged people at the event?* Yes No How will under aged people be distinguished from people over 18 years of age?*Are alcohol sales restricted to a confined space?* Yes No Are appropriate 'responsible' servers of alcohol notices displayed?* Yes No Are volunteers / staff trained in responsible service of alcohol?* Yes No Other SupportDo you need to borrow any Variety tear drop banners, pull-up banners, corflutes or eftpos machine?*Please note: these may already be in use by other supporters. We will contact you if they are NOT available. Yes No What would you like to borrow? 1 x Tear Drop Banner 2 x Tear Drop Banners 1 x Pull Up Banner 2 x Pull Up Banners 1 x Corflute Poster 1 x Eftpos Machine When would you like to pick up? MM slash DD slash YYYY When would you like to drop off? MM slash DD slash YYYY DisclaimerPlease include any other relevent points of informationDisclaimer*The answers provided to the questions above are true and correct. I will notify Variety South Australia Incorporated of any changes to the event that will have an impact on any of the above questions. I agree to the Variety SA Fundraising terms and conditions I am aware that I must complete the Event Reconciliation Form in order for the funds raised to be attributed to my car / bike CAPTCHA Δ
