City of Canning Season of Events 2018 Expressions of Interest Application Form

City of Canning - Play Streets Application

Play Streets aims to support residents to hold neighbourhood events or activities as a way for neighbours to interact and engage with each other.
Have You Read the Events Tool Kit? *

Yes No
Primary Contact Name *

First Name Last Name
Primary Phone Number *

Area Code Phone Number
Primary E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Play Street Details
Street Name *
Expected Attendance *
Maximum 100 people permitted
Date of Play Street *

Month Day Year
Date
Set Up Time: blanks
Pack Down Time: blank*
Event Start Time: blanks
Event Finish Time: blank*
Attach Approved Order for Road Closure from the WA Police? *

Browse Files

Cancel of
Attach Neighbour Consent Form (2/3 majority required) *

Browse Files

Cancel of
Attach Traffic Management Plan issued by the City? *

Browse Files

Cancel of
Do you plan on having additional outsourced entertainment or suppliers? *

Bouncy castles Facepainters Food trucks Marquees or other structures Petting Zoo
If yes to the above, please supply Public Liability Insurance from the supplier/company

Browse Files

Cancel of
Play Street –Items for Hire:

The information below is what the City has available for you to hire for your Play Street. Please tick what you would like to utilise for your event: Pick location in the City of Canning Depot located: 51 Fleming Ave, Wilson WA 6107
Items For Hire
prev next ( X )
UE Boom Speaker Free

Quantity

Wooden Art Easel Free

Quantity

Mesh Trolley with lid Free
For transporting equipment & storage

Quantity

Volunteer Hi Viz Vests Free

Quantity

A Frame signage Free

Quantity

Plastic Pennant Bunting Free

Quantity

Chess (12 inch) Free

Quantity

Multi Sport Set Free
Uber Multi Sport Set - Includes Cricket, Rounders, Paddle Bat and More.

Quantity

Rainbow Coloured Marker Cones Free
QTY: 1x (48/pk)

Quantity

Soccer Goal Free
240cm x 180cm Recreational Soccer Goal QTY: 4x

Quantity

Sack Racing Free
QTY: 2x

Quantity

EVA Balance Builder Mats Free
QTY: 1x

Quantity

Wooden Bead Maze Free
QTY: 3x

Quantity

Toddler Tunnels Free
QTY: 2x

Quantity

Hop Scotch Mat Free
QTY: 1x

Quantity

Pavement Chalk Free
QTY: 1 Pack of 20

Quantity

Total $ 0.00
Preferred date of collection (Week Days before 3.30pm)

Month Day Year
Date
Time:
Terms and Conditions
Play Street Terms and Conditions can be found by clicking this link:

www.canning.wa.gov.au/playstreets

You are required to read the Play Street terms and condtions before agreeing and signing the decleration below
I have read and agree to the Play Streets Terms and Conditions. *
www.canning.wa.gov.au/playstreets
Any Additional larger attachments to support your application can be emailed to the Events Team: communityevents@canning.wa.gov.au

Include in the subject line: Play Streets>Supporting docs>Name/organisation
I confirm that the details supplied in this application are true and correct *

Yes
Declaration:

I acknowledge that I have read and understood the Play Street Terms and Conditions. I assume full responsibility and accept liability should my use of the street or equipment contravene these conditions and/or cause damage to the street. I accept that I may be held liable for replacement and repair of said damage. I hereby give permission for any associated costs to be deducted from my bond (if applicable) or charged to me.
Signature *

Clear
Should be Empty:

City of Canning - Play Streets Application

Play Street Details

Play Street –Items for Hire:

Terms and Conditions