Your details

Name*

First Last

Address*

Street Address City State Postcode

Email address*

Mobile number*

Variety event you are fundraising for?

Car / 4WD / Creative Car Cruise / Other

If you are organising a fundraiser on behalf of your workplace, community group, sporting club or other organisation, please provide their details below.

Company

ABN

Event details

Event/ Activity Name*

Start date*

End date*

Where will the event/activity take place?*

Street Address City State

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?*

Yes
No
N/A

Ticket price (inc GST) $

Will you be producing any advertising material inc: registration forms, posters, etc?*

Yes
No

Please attach a copy of any advertising material

Drop files here or

Max. file size: 512 MB.

**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?*

Yes
No

Raffle ticket price*

Please List Raffle Prize Details*

Insurance

Do you require this event/activity to be covered by Variety WA Inc. Insurance?*

Yes
No

Please note if insurance is required you will need to complete the Risk Assessment.

Risk Assessment

Number of people working at the event/activity*

Please specify * Organisers * Volunteers * Variety Staff

Will children be attending the event?*

Yes
No

Will event organisers have a current Blue Card?*

Yes
No

Will food be served at the event?*

Yes
No

Who is preparing the food?*

ie: Volunteers / Community Group / Catering Company Other

Does the event involve physical activity?*

Yes
No

i.e. golf day, fun run etc

Please describe the physical activity*

Does the event involve driving a vehicle?*

Yes
No

Motor bike / 4WD / Car

What type of vehicle?*

Will alcohol be served at the event?*

Yes
No

Is the event venue licensed?*

Yes
No

Will you require a community liquor permit?*

Yes
No

Please use the link below to figure out if you will need one for your fundraising event. https://ablis.business.gov.au/service/queensland/community-liquor-permit/35388#:~:text=Community%20liquor%20permits%20are%20often,sporting%20events%20in%20Queensland%20only

Are attendees allowed to provide their own alcohol?*

Yes
No

How will underage attendees be distinguished from people over the age of 18 years?*

Will those serving or selling alcohol hold a current RSA*?*

Yes
No

* Responsible service of Alcohol

Will appropriate responsible service of alcohol notices be displayed?*

Yes
No

Will there be any mechanical and/or animal rides present?*

Yes
No

If yes, will the operators of the mechanical and/or animal rides have their own Public Liability Insurance?*

Yes
No

Please attach copy of Operators Public Liability Certificate*

Max. file size: 512 MB.

Will there be any entertainment?*

Yes
No

Will there be a dance floor?*

Yes
No

Will there be a mosh pit?*

Yes
No

Will there be any temporary staging or seating structure erected?*

Yes
No

Will there be any fireworks?*

Yes
No

Will there be first aid personnel there?*

Yes
No

Who will the first aid personnel be?*

Will there be security?*

Yes
No

Who 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?*

Yes
No

Will there be any waterborne activities?*

Yes
No

Please describe the waterborne activities*

Will cash be collected at the event?*

Yes
No

Will media be asked to attend the event?*

Yes
No

Other Support

Do you need to borrow any Variety banners, collection boxes or other promotional items for your event / activity?

Yes
No

Note: one of our team will be in contact to confirm availability. It is your responsibility to collect and return to the office.”

The answers provided to the questions above are true and correct.
I will notify Variety WA 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

So that we can personalise your experience, please select your state.

Register your event