EMC Performances Application

Ellenbrook Multicultural Community Festival

Saturday 15th November 2025

3pm to 8pm

Charlottes Vineyard Oval, Everard Ave, Ellenbrook
Cultural Performance Personal Details
Name of Group/Organisation/Service*

Name ABN
Primary Contact Details*
First Name and Last Name
Please specify which of the following groups are applicable to you

Community GroupNon-for-profit organisation or charitySchoolProfessional Cultural Dance or Entertainment Service
Are you a non for profit group being auspiced? If so, please state the name of the Incorporated association that you will be operating under. Otherwise please leave blank.
Auspice

Name of AuspiceAuspice Contact Person Name & Email
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Fee if Applicable

Total Amount including GST(amount only eg 500)GST Amount if Applicable
Stage Performance Details & Requirements
Performance Type-eg Dancing, Singing, Musical, Single or Group*
Origin-eg Nepal, Punjab, Indigenous etc*
Performance Time (minutes)*
Setup Time (minutes or if required)
Preferred Time Slots (Please choose 2 or more)*

Anytime3pm - 4pm4pm - 5pm5pm - 6pm6pm - 7pm7pm - end
Stage Performance requirements (Multiple choice available)*

Wireless Microphone(s)Band & Accoustics Setup
Please state any other stage requirements here
Please upload your audio file or send audio files to ellenbrookmcc@gmail.com

Must be MP3 format
Cancelof
I will provide music on a USB labelled with my group name and all audio files labelled in accordance to my performance program and will ensure to have it

YesNo
Please list order of performances with name of audio file and times as follows:

1. Male Dance - '[Name of Group] 1. Sea merchants.mp3' (2.5mins)

2. Female Dance - '[Name of Group] 2. Mermaid story.mp3' (4mins)

Please ensure to digitally rename audio files with the name of your group and then number your songs in correct sequence to ensure your songs will be played in the right order.

When you hand in your USB to the sound technician on the day, please ensure this is done as soon as you arrive and no later than 30mins prior to your performance.
Enter list of performance(s) here, including sole performances
I accept that if I do not check in for my performance on time or do not provide music on time, I risk my performance being delayed.

YesNo
Please upload your Public Liability ($10mil)

If auspiced, please provide their public liability.
Cancelof
Signature*
Should be Empty:

Cultural Performance Personal Details

Stage Performance Details & Requirements