Create Event Personnel

Contact Details

First Name: *

Last Name: *

Date of Birth:

Day:

Month:

Year:

Organisation:

Position in Organisation:

Photo:

Please upload a photo for use in the selection process and online promotion.

Email:

Skype Username:

Mobile Phone: *

Home Phone:

Address

Address:

Suburb/City:

State:

Postcode:

Country (if not Australia):

Internet Contacts

Website:

Facebook Link:

Emergency Contact Details

Please enter here the details for someone we can contact in an emergency. Choose someone who will contactable by phone at the time of the event.

Emergency Phone Number:

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Contact Relationship:

Medical Conditions:

Please list any medical conditions you have that should be known by the event organisers

About You & Your Services

Description of your services - what do you want to do at this event?: *

Please enter a description of the services you are offering for this event - this will be used in the selection process.

Documents:		Order
	Upload \| Remote URL Maximum file size: 5 MB Allowed extensions: txt pdf rtf doc docx xls xlsx zip rar jpg tif gif bmp Maximum file size: 5 MB Allowed extensions: txt pdf rtf doc docx xls xlsx zip rar jpg tif gif bmp

Please upload any relevant documents for your application - gear lists, quotes, certifications/licences, insurance policies etc

Where are you / your organisation based?: *

Please list the days you are available to work at the event:

Friday 9th March

Saturday 10th March

Sunday 11th March

Monday 12th March

Select which of the days of the event you are available to work at the event

Please indicate here if you have prior commitments over the time of the festival which may impact on your availability:

Financial Info & Insurance

Requested Payment for Service(s): * $

GST: *

Please outline whether your fee request is inclusive of GST.

ABN:

Do you have Public Liability Insurance?: *

Public Liability Upload:

If you have public liability insurance, please attach a copy of your insurance policy here.

Admin Fields

Event Edition: *