Djerriwarrh Festival 2017

Community Showcase Application Form

Saturday 11 November 2017

Melton Recreation Reserve, Melton

1.  Your details
Applicant’s name
Name of group
Mailing address
Postcode
Business address
Postcode
Phone number / Mobile number
Email address / Web site
Event day contact person / Mobile number
2.  Performance details
Performers will be selected based on Melton City Council’s selection criteria. All performers must supply a link/audition footage to be considered.
Type of performance, workshop or activity:
Soloist Duo Band Choir
Dance group Stage show Roving performer
Other (please specify)
Total Number of Performers
Description of performance, including your set list if applicable (songs performed)(50 words max.)
Please supply a short, 50 word commentary for MC introduction.
Proposed duration of performance (maximum 15 minutes) / minutes
Will you be providing your own back tracks (wave file USB) Yes No
Set up time required / minutes
Do you require car access for bump in of performance items? Yes No


List any stage props or backline items you will be providing for your performance

NOTE: Melton City Council agrees to supply minimal PA requirements. All other props must be supplied by the performer.
No greenroom access is available.

4.  On-stage performance details
Stage plan: please illustrate your stage plan, including performer placements, by:
·  Providing a detailed sketch in the circle below or
·  Attaching your own stage plan to this booking form.
Showcase Ring
Dimensions
2.4m x 3.6m Platform (ground level)
10m x 10m in total (grass surface)
NOTE: Performances on the Showcase Ring will take
place in a grass surface.
5.  Checklist & Permission
Please complete the following checklist and ensure that you provide all the required supporting documentation with your completed booking form.
Checklist (please tick):
Have you included a link/footage your performance for audition purposes
Performance stage plan (if applicable, see above)
By ticking this box, you give Melton City Council permission to photograph your performance
and utilise these images in future marketing. Please leave blank if you do not give permission.
6.  Principal’s Indemnity
The applicant agrees to abide by all terms and conditions attached and to indemnify and keep indemnified the Principal, its servants and agents, from and against all actions, costs, claims, charges, expenses, penalties, demands and damages whatsoever that may be brought or made or claimed against them, or arising from my performance or purported performance of its obligations and directly related to the negligent acts, errors or omission by the applicant and their involvement with the specified event or festival.
Signature of applicant / Date
7.  Terms and Conditions
All applications are subject to a selection process with applications closing at 5pm, Friday 30 June 2017. Successful and unsuccessful applicants will be notified within four weeks of the closing date.
Melton City Council reserves the right to allocate performance times and lengths for the Community Showcase program.
Privacy Statement: The personal information requested on this form is being collected by Council for the purpose of coordinating the Events. The information will be kept confidential and identifying information will not be disclosed to any person for any other purpose. You may access your own information by contacting Council's Customer Engagement unit on 9747 7200.