Re-enactor Enrollment 2018
Event Date: 24th and 25th March 2018
Event Address: Airport Rd Mitchell Park
Contact: Susan Mitchell
Mobile: 0438 123 309
Email: sooznmitchell@gmail.com
Email address *
First Name *
Your answer
Surname *
Your answer
Re-enactment Name
Your answer
Contact Phone number *
Your answer
Suburb, State and Postcode *
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 Name and Number during event
Your answer
Group Email
Your answer
If not part of a group what will your activity be?
Your answer
Are you under 18 Years of age? *
If Yes what is your date of birth
MM
/
DD
/
YYYY
What days will you attend? *
Required
Will you be onsite Friday 23rd March to set up? *
Estimated time of arrival after 11 am on Friday
Time
:
How many of your group will be staying on site on the evening of the Friday 23rd March?
Your answer
Will you be having a group encampment?
Will you be having a fire pit?
What will the fire pit be used for? (cooking, ambience, blacksmithing, etc)
Your answer
Will you have a merchant display in your encampment? Please note- larger stall merchants will be subject to stall fees, please advise.
If Yes what goods will you have for sale?
Your answer
How much space will you need? Please include walk around space.
Your answer
Specify what your encampment display will look like. (2 bell tents, 3 wedge tents, central cooking area, marquee, etc).
Your answer
Will you be providing a living history display at your encampment? (Sewing, cooking,weaving,woodwork, etc with emphasis on public interaction)
Your answer
Will you be taking part, or providing other forms of entertainment? (sword work demonstration, furniture making, dancing, singing etc). Please list
Your answer
Are you a member of ARA or ALHF?
If Yes please provide your registration No and with whom
Your answer
Public Liability Insurance Provider. Please note you must have Public Liability Insurance to attend.
Your answer
Public Liability Insurance Number
Your answer
Will you be using or carrying prohibited weapons at this event?
If yes please list weapons.
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. Please sign by entering you 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.
Will you be attending the Feast on the evening of the 24th of March? $25 per adult, $10 per child, Under 5 Free(N.B. Not open to the public)
Number of adults attending
Your answer
Number of children attending please specify age
Your answer
Dietary restrictions *
Known allergies. Please list
Your answer
Would you like to enchant us at the feast with a song, dance or poem?
Your answer
I understand that I will have to pay for the feast before the 8th of March *
Required
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. PLEASE SIGN by entering you name: *
Your answer
**I wish to take part in pre event marketing on social media sites owned by VGMF, and will provide a statement and photos to VGMF, for said marketing opportunity. Sign by entering your name below:
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms