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Submit a Healing Space Application
Act Name
*
Contact Details
First Name
*
Last Name
*
Email
*
Mobile Phone
*
Home Phone
Postal Address
*
Suburb/City
*
State
*
QLD
NSW
ACT
VIC
SA
NT
WA
TAS
Not Australian Address
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 a value -
Meditation
Movement
Presentation
Sound Healing
Yoga
Other
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
Plain text
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
Plain text
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 27
August 28
August 29
August 30
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
*
- Select a value -
I am based locally to the event
I am not based locally to the event but my set fee includes transport costs
I will require inter-state transport to the event additionally to the requested fee
I will require international transport to the event additionally to the requested fee
ABN
If you have an ABN, please enter it here.
GST
*
- Select a value -
Requested fee inclusive of GST
Requested fee exclusive of GST
Not Registered for GST
Please outline whether your fee request is inclusive of GST.
Do you have Public Liability Insurance?
*
- Select a value -
No
Yes
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
.
Vertical Tabs
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