STAKEHOLDER APPLICATION

This registration is for participating at the Piws Club and/or Festival of Discovery on a regular basis:

Piws Club Festival of Discovery - May half term Piws Road Show
Piws and the Festival of Discovery accepts applications based on the information supplied on this form, please help us with your answers to avoid inappropriate or duplication of activities, stall holders etc.

No business/organisation is accepted until approved by the Committee and when applicable a payment has been received.

All refused applicants will have their payments returned within 24 hours.
For Festival of Discovery please tick your requirements, all spaces are two days from 9am until 5pm on Tuesday 1st and Wednesday 2nd June

Single trestle table 3m x 3m space for own gazebo Concession with own trailer Activity provider
Contact

First Name Last Name
E-mail
Telephone

Mobile Landline
Business/Group/Club Information

The information provided in this section relates to the organisation that will be trading
Organisation Name
NB: PLEASE REFERENCE Organisation NAME WITH ON LINE PAYMENTS
Address

Street Address

Street Address Line 2

City County

Post Code Country
Website
Twitter
Facebook
Your Logo
Photography of your products and goods to use throughout Social Media

What type of product/service will you be providing/promoting?
How is it relevant to the event
Please select your categories:

Arts & Crafts Educational - STEM Music & Dance - Explore your senses Cookery, Food and Drink SEND support Language and Culture Community Entertainment
Are you the producer of all these goods, yes or no?
Do you have any special requests?
At the end of the event you will be required to support the volunteers by putting your table and chairs back in storage.
Yes / No / Need support

SERVICES
Will you be using other fuels than electricity?

yes no
If YES Please state which fuel
Do you require electricity?

yes no
Exhibitors will be able to connect directly into 13amp outlets.
All cable extensions and connecting couplings must carry a P.A.T. Test Certificate (Portable Appliance Test) valid for the duration of the Show. A photocopy of the test certificate must be attached or be forwarded to the Festival Office 1 month prior to the Show.
The organisers will be empowered to refuse electrical connection if a valid test certificate is not received within 1 month of the Festival.
Please tick your requirements:

Single 13 Amp Socket Maximum Power 3KW £25 + VAT
No. of sockets required
It is a requirement that you list ALL items of electrical equipment along with the wattage of each appliance. This enables us to give the correct power requirements for the venue to the electricians. Items not listed below must not be used.

You will also be required to produce a valid electrical test certificate for each appliance used and made available for inspection by our electricians. Failure to produce a valid certificate will result in the organisers not permitting you to use the appliance.
Please list your electrical equipment:

Please note: all businesses/organisations and individuals need to submit a copy of their public liability and/or food hygiene certificates to participate in this event:
Public liability certificate
Without public liability you will not be able to participate
Risk Assessment Form
Person Responsible for Safety :
Name of Assessor:

Guidelines:

Using the guidelines below, please consider what risk there is to those building up and removing stalls, activities and to visitors during the event. Please outline the steps you propose to take to minimise that risk in the table below. Please copy this page if more space is required. If in your opinion, there is no risk, please print NO RISK. If unsure of stall features at the time of booking, and can therefore not complete this form, or if the risk changes before the event dates, please contact the event organisers ASAP.

Risk / Hazard	Person At Risk	Action (control to minimise risk)
Look only for hazards which you could expect to result in significant harm under the conditions. The following examples are a guide only.	There is no need to list individuals by name – just think about groups of people doing similar work or those who may be affected.	For hazards listed, please outline the steps you propose to take to minimise the risk.
Slipping; drowning; tripping hazards; chemicals; moving parts of machinery; pressure systems; electricity; dust and fumers.	Staff; maintenance personnel; contractors; operators etc. Pay particular attention to: staff with disabilities; visitors; lone workers.	Do they: meet legal requirements; represent good practice; reduce risk as far as reasonable practicable.

Risk Assessment Feedback
or upload your Risk Assessment Form

I have read the terms and conditions, general rules and conditions and Food Safety Guidance for Food Traders and agree to abide by them:-

Please note: receipt of the form does not guarantee space, the organisers reserve the right to cancel or amend any allocation of space up to the event, where upon any monies collected will be fully refunded. Unsuccessful applicants will be notified.

Food Hygiene and Safety Declaration:

It is the condition of participating in any Sbarc Ltd advertised events that exhibitors are conversant with, and abide by, the food safety (General Food Hygiene) Regulations 1965 and the Food Safety (Temperature control) Regulations 1995

It is also a condition that all electrical equipment used at the festival has a current PAT certificate under regulation 4, 5 and 6 of the Electricity at Work Regulations 1989 (EAWR).

Your Declaration:

I wish to reserve space as per my application.
I confirm that I am conversant with, and abide by, the Food Safety (GFC) Regulations and the Food Safety (TC) Regulations 1995 and that all equipment used at the events, including any extension leads, will have a current PAT certificate. The total power consumption of appliances attached to a single outlet extension leads will not exceed the capacity of the extension leads.

I agree to clear the site of all litter and rubbish after the event and to deposit such litter and rubbish in the receptacles provided.
Do you agree to the above declaration? *

Yes, I agree
Full Name: *

First Name Last Name
Date: *

Day Month Year
ADDITIONAL INFORMATION
Do you agree to Sbarc Ltd contacting you with information about other inclusive events which may be of interest to you? DATA WILL NOT BE STORED WITHOUT YOUR PERMISSION AND WILL NOT BE TRANSFERRED TO ANY THIRD PARTIES *

I do NOT agree I agree
Should be Empty:

Business/Group/Club Information

SERVICES

Risk Assessment Form

Guidelines: