CITY OF BAYSWATER EVENT APPLICATION FORM If you need guidance completing this form then please have a look at the City of Bayswater Event Guidelines, or contact the City's Event Coordinator via 9272 0694 for any questions you might have. Most event applications can be assessed within 30 days; however some events may require Council approval. For instance, if a donation from Council is requested or when planning approval is required. Council approval is also required when your event does not comply with noise regulations or when it is considered a major event of 5000 people or more attending. In these instances it is necessary to get your application in at least 60 days prior to the event date. If you plan to have your event at a City of Bayswater venue or reserve it is recommended to check its availability before completing the Event Application Form. After lodging the event application and accompanying forms the City will determine if any further information is required. For instance, a noise management plan or risk management plan. CONTACT DETAILS Event Contact (Must be over 18 years) Title: Mr Surname: Given Name: ☐ Mrs ☐ Ms ☐ Miss ☐ ☐ No ☐ Name of Organisation: (if applicable) Is the organisation not-for-profit? (if yes, please provide evidence) Yes Postal Address: Postcode: Phone (W/H): Phone (M): Email: Alternative Contact: Phone (W/H): Phone (M): EVENT DETAILS Name of Event: Location of Event: Description of event including the type of entertainment provided (for instance, bands, amusement rides, petting zoos): Event Date: Start Time: Finish Time: Set-up Date: Event Duration: Set-up Time: Expected Maximum No. of persons attending the event at any one time: Expected No. of persons attending over the duration of the event: Target audience (please give approximate percentages): Youth: Family: General: Do you have the owner's consent: If so, please have them sign: EVENT HISTORY Has this event operated previously? N/A ☐ Yes ☐ No ☐ Yes ☐ No ☐ If yes, how many persons attended the previous event? Were there any complaints received regarding the previous event? If yes, please provide details of complaint(s) and the outcome (for instance, was it resolved?): ☐ VENUE BOOKING N/A Is the venue a City of Bayswater reserve/facility? Yes ☐ No ☐ If yes, have you checked the availability of the venue? Yes ☐ No ☐ USE OF PARKS & RESERVES N/A ☐ Yes ☐ No ☐ Yes ☐ No ☐ Will you need access to the reserve for vehicles, trucks, or heavy machinery? Yes ☐ No ☐ No ☐ Will your event require any holes dug or tent pegs driven into the ground? If yes, please provide details: Will you be doing any line marking on grass areas for your event? If yes, please provide details: If yes, please provide details (for instance, estimated number of vehicles on the reserve): Will you need access to power? Yes ☐ Will you need access to toilets? Yes ☐ No ☐ Will you need access to clubrooms? Yes ☐ No ☐ Yes ☐ No ☐ If you answered yes to any of the above questions, please provide details: PUBLIC BUILDING Will you be constructing a Public Building? If yes, please complete the Application to construct a public building form. See event guidelines for relevant fees. FOOD STALLS Will you - or anyone else - be serving or selling food at your event? Yes ☐ No ☐ If yes, each food stall holder will need to provide a Temporary Food Business Application form. The City also requires a copy of the 'public liability insurance' for each of the food stalls. PUBLIC LIABILITY INSURANCE The City requires a copy of your current Public Liability Insurance (Certificate of Currency) with a cover of at least $10 million Does your Public Liability Insurance cover your organisation for this proposed event? Yes ☐ No ☐ SITE PLAN The City requires a site plan for the event. For more information about the site plan, please refer to section 2.2 from the Event Guidelines Have you attached a site plan indicating the layout of your event? WASTE MANAGEMENT Yes ☐ No ☐ It is important to have an adequate waste management plan in place to ensure there are sufficient bins for the disposal of general waste, recycling and green waste (if applicable). How many bins will be available at the event? Will you need to hire bins from the City of Bayswater? Yes ☐ No ☐ If yes, how many will you need? If no, who will be providing them? TRAFFIC MANAGEMENT, ROAD CLOSURE & PARKING Make sure you have proper arrangements in place to manage a safe traffic flow and parking. If in doubt whether a traffic management plan is needed, please refer to section 2.12 of the Event Guidelines or contact the Events Coordinator on 9272 0694. Please note that when your event is on a road or part of a road you should contact the WA Police to discuss your event before lodging your Event Application Form with the City. Please note: It is not the responsibility of WA Police or City of Bayswater Rangers to manage traffic on the day of your event, they will only enforce traffic and parking laws. What arrangements are in place for vehicle parking at the event? Is your event likely to have an impact on surrounding residents, such as road closures, crowd movement or traffic congestion? Yes ☐ No ☐ No ☐ If yes, please provide a Traffic Management Plan Are there any accessible parking (disabled bays) facilities available? Yes ☐ If yes, how many bays? No.: Have you organised any parking wardens? Yes ☐ No ☐ Do you require a road closure? Yes ☐ No ☐ If yes, have you obtained the necessary approvals from the WA Police? Yes ☐ No ☐ N/A ☐ SANITARY FACILITIES The number of people expected to attend the event will impact the number of toilets and hand basins required onsite. Please refer to the table in section 3.6 of the Event Guidelines to see how many sanitary facilities are required. Please indicate how many of the following will be provided: Male Toilets: Urinals: Male Hand basins Female Toilets: Female Hand basins: How many accessible toilets for people with a disability will you have? No. PLEASE NOTE: If the event is happening after sunset please ensure that the toilet blocks have lights. The number of toilets provided may determine how many people will be permitted at the event. FIRST AID PROVISION The number of people expected to attend the event will impact the number first aid posts and qualified first aid officers required onsite. Please refer to the table in section 3.9 of the Event Guidelines to see what is required for your event. No. and contact details of Qualified First Aid attendants: Will the first aid be through an accredited agency, for instance St John Ambulance? Yes ☐ No ☐ If yes, please provide details: Agency Name: Phone: PLEASE NOTE: Details of the first aid post and the access for emergency vehicles should be shown on the event site plan. SECURITY It is important to make adequate security arrangements for your event. Please refer to the table in section 3.7 of the Event Guidelines to see how many crowd controllers are required for your event. Please provide details of security arrangements for the event: PLEASE NOTE: The ultimate responsibility to ensure the safety of people attending the event lies with the Event Organiser. FIREWORKS N/A ☐ If you wish to discharge fireworks you will require approval from the Department of Mines and Petroleum, Fire Authorities, the Police and the City of Bayswater. Please refer to section 2.10 of the Event Guidelines for more information. If you have fireworks planned for your event then please provide details: Company: Phone: Have you got an approval for fireworks at this event? Yes ☐ No ☐ If no, please provide an explanation: EMERGENCY EVACUATION The City requires an Emergency Evacuation Plan prepared for the Emergency Evacuation of persons at your event regardless of the size of your event – even if it is a small event. Please refer to section 2.3 Emergency Management of the Event Guidelines for more information. Have you attached an emergency evacuation plan for your event? Yes ☐ No ☐ Have you notified the Local Police in writing of your event? Yes ☐ No ☐ Have you notified Fire and Rescue Services of your event? Yes ☐ No ☐ LIQUOR LICENCE Will liquor be sold at the event? Yes ☐ No ☐ If yes, have you obtained a liquor licence for the event? Yes ☐ No ☐ Yes ☐ No ☐ If not, why not? : AMUSEMENT RIDES Will you have Amusement rides at your event? PLEASE NOTE: If so, they must comply with AS 3553. Please provide a copy of the 'public liability insurance' and 'evidence of plant registration' from Worksafe for each amusement ride. NOISE Will there be amplified music at the event? Yes ☐ No ☐ If yes, please provide details: If yes, what will the noise level dB(A) potentially be at the sound mixing desk? (This is best estimated by the sound technician: Will the noise from your event potentially exceed the assigned noise levels as stated in the Environmental Protection (Noise) Regulations 1997? Yes ☐ No ☐ Do you have a complaints procedure? ☐ No ☐ Yes PLEASE NOTE: If you expect to exceed the Assigned Noise Levels then please request an approval as a Noncomplying Event in accordance with regulation 18 of the Environmental Protection (Noise) Regulations 1997. This written request will need to be submitted minimal 60 days prior to the event date. Please refer to the Event Guidelines for relevant fees PLANNING APPROVAL Will your event: - take place on private land? - run over a period of time or are you holding a series of consecutive events? - change the use of an area? (For instance, change parking facilities into a Yes ☐ No public events space? If yes, you might need planning approval. Planning approval is not required if your event is in existence for less than 48 hours (over a 12 month period). ☐ In all other situations, please complete a planning application MRS Form 1. Please be aware that planning applications require consideration by Council. This means the application should be lodged minimal 60 days prior to the event. GENERAL SAFETY REQUIREMENTS Are you aware of the relevant fire safety, electrical installations, evacuation procedures, lighting and seating requirements? Yes ☐ No ☐ If no, please refer to section 3.1 - 3.5 of the Event Guidelines COMMUNITY INFORMATION The City of Bayswater posts information about upcoming public events on a community events calendar on our website at www.bayswater.wa.gov.au. Would you like your event to be listed on the calendar? Yes ☐ No ☐ If so, please provide us with a short paragraph describing your event: DECLARATION I certify that the information provided in this application is true and correct to the best of my knowledge. I agree to notify the City of Bayswater of any changes to the information provided in this application. Have you read a copy of the City of Bayswater Event Guidelines? Name: Position Signature: Date: Yes ☐ No ☐
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