Event Request Form
Date of event
*
-
Month
-
Day
Year
Date
Is the event multiple days
*
Please Select
Yes- state below in other information box
No
Address of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact for event
First Name
Last Name
Contact number
Best Contact number for Day of event
Email for invoice & Correspondence
*
example@example.com
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Start time of Event
*
Hour Minutes
AM
PM
AM/PM Option
End Time of Event
*
Hour Minutes
AM
PM
AM/PM Option
Type of Event
*
Please Select
Motor Sport
Village, School or Community fete
Carnival, Town Show, Fairs, Rallies
Festival
Film and TV
Combat Sport
Staduim Sporting
Other
Capacity of Event-
*
approx max number of people Attending
Other Harzards
Alchol on site
Moving Vehicles
other- please state below
further Details about your Event?
any other hazards, other services on site,
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Person making the booking
Name
First Name
Last Name
Email
example@example.com
Signature
Submit
Should be Empty: