If you would like to hire the Macksville Showground as the venue for your Mid North coast major event, please fill out the application form below. Event Name *Event CoordinatorName *Organisation *Phone *Contact number during event *Email *Address *Event DetailsDate of hire *Start Time *End Date *End Time *Approximate number of people *Details of Activity *0 / 1000Security Details *Noise LevelsWill any Public Address Systems or amplification systems be used?YesNoGenerators or other noise producing equipment?YesNoIf you answered yes to either of these questions please provide details below of a curfew time, methods of noise reduction to be utilisedPotable WaterIs the supply of potable water sufficient for the number of persons in attendance?YesNoFood for SaleWill food be prepared or sold at the event?YesNoNote: If you Are having food at the event you will need a copy of the Food Handling Guidelines for Temporary Events available from Nambucca Shire Council.Are the number of toilets adequate for the number of people attending the eventYesNoToilet FacilitiesIf you answered No to the above question please provide details below of arrangements for temporary toilet facilities.Garbage FacilitiesWill you have adequate garbage collection facilities?YesNoPlease provide details of your planned waste managementParking and TrafficIs there adequate off street parking for the estimated number of attendeesYesNoWill the event impact on internal traffic flow or pose a risk to pedestrians?YesNoNOTE: if you have answered yes to the question above you will need to provide:Traffic Control PlanYesNoDo you have accredited traffic controllers?YesNo(Proof of accreditation is to be provided)Will you require Nambucca Shire Council to arrange a temporary extension of 50 KPH Zone to include showground?YesNoStructuresWill any structures be erected for the event ( e.g. marquees, stage platforms, lighting rigs)?YesNoIf you answered Yes to the above question please provide details of the structure belowAmusement DevicesWill amusement devices be installed at the event?YesNoIf you answered yes to the above question please refer to 8 in the Special Events Information Sheet to determine if an Application for Approval to Install or Operate an Amusement Device must be completed with Nambucca Shire Council. Some amusement devices may not be approved by the Association’s insurers.Attach application for approval to install or operate amusement device(s)Choose FileNo file chosenDelete uploaded fileHave you attached the Application for Approval to Install or operate The Amusement Device?YesNoPlease provide details of each device belowEmergency ExitsIf an enclosed space is to be used for entertainment, have Emergency Exits, Signage and appropriate lighting been provided?YesNoFirst AidAre adequate first aid facilities provided?YesNoCrowd Control/SecuritySupervision will be carried out by responsible adults?YesNoPlease provide details:NamePhoneNamePhoneNamePhoneOrA security firm or the Police been contracted?YesNoPlease provide details:Company NamePhoneCompany NamePhonePublic Liability/Products Liability InsuranceAttach Certificate of CurrencyChoose FileNo file chosenDelete uploaded fileIs a Certificate of Currency noting the Association as an interested party attached to this application with a notation that the policy covers the event?YesNoSale of AlcoholWill alcohol be sold at the event?YesNoIs a copy of the sale of alcohol licence attached?YesNoWill provide when available – application attachedYesNoAttach alcohol license/applicationChoose FileNo file chosenDelete uploaded fileElectricityIs the electricity adequate for the event?YesNoHas electricity been arranged with County Energy?YesNoRisk AssessmentHave you completed the Risk Assessment supplied?YesNoAttach Risk AssessmentChoose FileNo file chosenDelete uploaded fileHave you attached it to the application?YesNoSite PlanAttach Site PlanChoose FileNo file chosenDelete uploaded fileHave you attached a site plan/sketch including stall locations, First Aid Station, Emergency Exits, Muster Point?YesNoProgram of ActivitiesAttach Program of ActivitiesChoose FileNo file chosenDelete uploaded fileHave you attached your program of activities?YesNoDamage to association's assetsThe Association’s Assets which include: fences, seating, playing surfaces, trees and gardens, buildings, toilets, kiosks, change rooms, roads and roadside furniture, must be left in the same condition as found. A refundable bond may be required and will be assessed based on the level of facilities and attendees. Should a bond be required, the facilities will be inspected prior to and immediately following the event. It can be arranged that a representative of the Organising Committee b e in attendance at the inspections.The event organiser agrees to pay the costs of repairsCompany Name *Person's Name *Date *Water ActivitiesNSW Waterways approval is required for activities on enclosed Waters and must be attached to this application. Please provide a list of associated activities with the event and the local of each activity.Do you require Waterways approval?YesNoAttach Waterways approvalChoose FileNo file chosenDelete uploaded fileHave you attached the Waterways approval?YesNoEnvironmentalAttach Environmental PlanChoose FileNo file chosenDelete uploaded fileHave you attached the Environmental Plan?YesNoNOTE: Due to the potential damage to marine life from the rubber material of deflated balloons in the water NO BALLOONS ARE TO BE RELEASED.QuestionsHas every question been answered?YesNoNOTE: Make certain that you have answered every question. Incomplete applications will be returned to the applicant without further processing!Declaration and AcknowledmentsSignature *Send MessagePlease do not fill in this field.