Encampments and Groups Victorian Goldfields Medieval Faire 11-12 March 2017
Registration Form
First Name
Your answer
Second Name
Your answer
Re-enactment Name
Your answer
Contact phone number
Your answer
Email address
Your answer
Street
Your answer
Suburb
Your answer
State
Your answer
Post Code
Your answer
Are you attending as one person?
Are you attending with a group?
Name of Group
Your answer
Historical Period
Your answer
Group Contact Details
Your answer
Email Address of Group
Your answer
If not in a group, what will be your activity?
Your answer
Are you under 18 years old?
If yes, date of birth
MM
/
DD
/
YYYY
ATTENDANCE
Will you be on site on Friday 10th March 2017 to set up your site?
Estimated time of arrival after 11am
Your answer
How many of your group will be staying onsite on the evening of Friday 10th March 2017?
Your answer
Will you be attending Saturday 11th March 2017?
Will you be attending Sunday 12th March 2017?
Please Note – Site to be cleared by 4pm Monday 13th March
ENCAMPMENTS
Will you be having a group encampment?
Will you be having a fire pit?
What will you be using fire pit for? (Cooking, ambience, blacksmithing, etc)
Your answer
Will you have a merchant stall in your encampment?
What goods will you have?
Your answer
How many tents will your group have?
Your answer
Please provide size of tents in metres
Your answer
Please specify what your display will look like. (2 bell tents, 3 wedge tents, central cooking area, marquee, etc)
Your answer
Do you need space in the non-period campsite? If yes, size needed in metres
Your answer
ACTIVITIES
Will you be providing living history activities in your display, at your encampment? (Sewing, cooking, weaving, woodwork, etc with emphasis on public interaction)Please list your intended activities
Your answer
Will you be taking part, or providing other forms of entertainment? (Sword work demonstrations, archery, games, apothecary, songs, furniture making, dance, etc)Please list
Your answer
Duration, if applicable
Your answer
Are you a member of ARA or ALHF ?
Public Liability Insurance Provider
Your answer
Public Liability Insurance Number
Your answer
Please Note – You must have public liability Insurance to attend this event
WEAPONS
Please Note – NO BLACK POWDER WILL BE ALLOWED AT THIS EVENT
Will you be using or carrying prohibited weapons at this event?
Please list your weapons for this event
Your answer
Please Note – You must have an exemption under the Control of Weapons Act 1990 to carry a prohibited weapon, or to take part in any activity with a prohibited weapon at this event. If you do not have proof of exemption for the use of prohibited weapons, you will be asked to take your weapons home. This includes swords, daggers, axes, firearms, and other weapons.
Sign / Write Name
Your answer
Are you currently a prohibited person under the control of weapons act?
Please Note – If you become a prohibited person before this event, you must notify VGMF committee before entering the site.
Saturday Evening Feast - $20 per adult, $10 per child, Under 5 Free
(N.B. Not open to the public)
How many tickets: Adults
Your answer
How many tickets: Children
Your answer
Total amount $$
Your answer
Please advise dietary requirements
Your answer
Known Allergies
Your answer
Would you like to enchant us at the feast with a song, a dance, a poem?
Your answer
(N.B. There will be a range of foods to suit all tastes, including meat, vegetables, salads, fruit, bread, and vegetarian, but if you have particular needs, or you are fussy, it may be best to bring your own. Ticket prices for BYO food will remain the same)
Moderate BYO drinks will be available, with drinks available for purchase at standard bar prices
Declaration
Conditions Of Entry – I understand that I am completely and fully indemnifying Victorian Goldfields Medieval Faire, its committee and associates, in respect to all claims, of any kind, and including all persons whatsoever, for any reason, for injury to person or persons or property or properties, caused by, or in connection with, my involvement or participation, in this event. I take full responsibility for my own actions and equipment, on my person or in my encampment, and agree to uphold the requirements of the Victorian Weapons Act, as required, by myself at all times while at this event. I agree to pay any damages caused by myself or actions, to damage caused to property on the site of Victorian Goldfields Medieval Faire. I understand that if I breach any of these conditions, that my actions could have me removed from the event. I confirm that I am a member of a registered re-enactment club, that I have current and suitable public liability insurance, and that any weapons I bring to this event are covered and controlled under the Victorian Weapons Act. I agree to my image and likeness from photos or film footage to be used by Victorian Goldfields Medieval Faire for the purposes of promoting the event, and for use on their social media sites.
Sign / Type Name
Your answer
enquiries...
For all enquiries about this form - Susan Mitchell – Committee Member 0438 123 309
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms