Create Workshop / Discussion

Workshop Presenter/Crew Name: *

Contact Details

First Name: *

Last Name: *

Email: *

Skype Username:

Mobile Phone: *

Home Phone:

Address

Postal Address: *

Suburb/City: *

State: *

Postcode: *

Country (if not Australia):

Online Promo Links

Website:

Facebook Link:

Youtube / Vimeo 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 your Workshop / Lecture / Discussion

Photo:

Please upload a photo for use in the selection process and online promotion. (If your application is successful this photo will be used on the event website)

Type of Workshop: *

Your Name for Line-up: *

Enter the individual's name or crew name that will be presenting this workshop / lecture / discussion. This will be used in online promotion if your application is successful.

Workshop / Lecture / Discussion Title: *

Enter the title of your workshop here - this will be used in online promo.

Synopsis: *

Please provide a synopsis/summary of your workshop / lecture / discussion of no more than 2000 characters here. This will be used in online promotion if your application is successful.

If you use / require any props for your workshop / discussion, please describe here:

Bio - Short: *

Please enter a short edited version of your bio of no more than 2000 characters. This will be used in online promotion if your application is successful.

Bio - Full Length: *

Please enter your full bio here - this will be used in the selection process.

Press Kit Upload:

Where are you based?: *

Will you already be in the local area of the Festival?: *

Please list the days you are available to do your workshop / lecture / discussion: *

Friday 9th March

Saturday 10th March

Sunday 11th March

Monday 12th March

Select which of the days of the event you are able to perform

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

Do you have Public Liability Insurance: *

Staging and Technical Requirements

Required Setup Time: *

Required Packdown Time: *

Tech Rider:

If applicable, please upload a copy of your tech rider.

Any special requirements:

Financial Info & Insurance

Fee Request: * $

Requested Performance Fee

Fee Request Notes:

Enter any fee request notes here - such as negotiable, non-negotiable, transport costs (please specify) ......

ABN:

If you have an ABN please enter it here.

GST: *

Please outline whether your fee request is inclusive of GST.

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: *