Submit a Healing Space Application

Act Name *

Contact Details

First Name *

Last Name *

Email *

Mobile Phone *

Home Phone

Postal Address *

Suburb/City *

State *

Postcode *

Country (if not Australia)

Online Promo Links

Website

URL

Please enter your Website URL - it should be in the format http://www.yourwebsite.com

Facebook Link

URL

Please enter your Facebook Page URL - it should be in the format of http://www.facebook.com/yourprofilename or http://www.facebook.com/pages/yourprofilename/1234567890

Youtube Link

URL

Please enter a Youtube video link which gives an idea of your proposed act, and which can be used if on your website listing if your application is successful - it should be in the format of http://www.youtube.com/watch?v=y0uTubEiD

Vimeo Link

URL

Please enter a Vimeo video link which gives an idea of your proposed act, and which can be used if on your website listing if your application is successful - it should be in the format of http://www.vimeo.com/00000001

Emergency Contact Details

Emergency Phone Number *

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Relationship *

Medical Conditions

Please list any medical conditions you have that should be known by the event organisers

About your Healing Space Act

Healing Space Act Type *

Select which category best describes your act.

Artist Name for Online Listing *

Enter your full Artist / Crew Name as it should appear in event press. This will be used in online promotion if your application is successful.

Extra Artist Name Info

Enter any extra Artist Name Info such as country, label affiliation etc. This will be used in online promotion if your application is successful.

Photo

Please upload a photo of your Healing Space Act.
This will be used in online promotion if your application is successful.
You may upload up to 4 photos.
Please note that landscape photos display better on the website if your application is approved.

Add a new file *

Files must be less than 5 MB.
Allowed file types: png gif jpg jpeg.
Images must be between 800x500 and 4000x4000 pixels.

Bio *

Text formats options

More information about text formats

Text format

Filtered HTML

Web page addresses and e-mail addresses turn into links automatically.
Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
Lines and paragraphs break automatically.

Plain text

No HTML tags allowed.
Web page addresses and e-mail addresses turn into links automatically.
Lines and paragraphs break automatically.

Enter a succinct version of your bio - no more than 3000 characters. This will be used in online promotion if your application is successful.

Description / Synopsis *

Text formats options

More information about text formats

Text format

Filtered HTML

Web page addresses and e-mail addresses turn into links automatically.
Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
Lines and paragraphs break automatically.

Plain text

No HTML tags allowed.
Web page addresses and e-mail addresses turn into links automatically.
Lines and paragraphs break automatically.

Please provide a brief description of what you wish to do at this event.

Names of people in your act and their roles *

Please provide a list of all people involved in your act and their role.

Please list the days you are available to participate *

August 14th

August 15th

August 16th

August 17th

Select which of the days of the event you are able to participate.

Any comments / questions / suggestions ?

Staging and Technical Requirements

Required Setup Time *

Required Packdown Time *

Technical Requirements

Do you have any requirements from the event for staging, rigging, lighting etc ?

Power Requirements

Please outline electrical equipment list and wattage.

Any special requirements

If you have any special requirements or considerations, please outline here.

Financial Info & Insurance

Fee Request * $

Requested Performance Fee

Fee Request Notes

Enter any fee request notes here - such as negotiable, non-negotiable...

Travel Arrangements & Costs *

ABN

If you have an ABN, please enter it here.

GST *

Please outline whether your fee request is inclusive of GST.

Do you have Public Liability Insurance? *

Public Liability Upload

If you have public liability insurance, please attach a copy of your insurance policy here.
Files must be less than 5 MB.
Allowed file types: txt pdf rtf doc docx xls xlsx zip rar jpg tif gif bmp eml odt.

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