Welcome to the
sunday art market 11 Entertainer Application Form
o Please read through the entire Sunday Art Market 11 FAQs and Terms and Conditions o This Application Form must be completed and received by Bundaberg o Regional Art Gallery before 17:00 Friday 29 July, 2011. o An online Application Form is also available from our website at: o www.bragbrc.org.au/sundayartmarket o Please write clearly using BLOCK LETTERS. Please fill in ALL relevant sections.
Are you applying as a:
If Group, how many performers?:
Full Name (Individual):
Full Name (Group):
City/Town/Suburb (Please note: you must be a resident of the Bundaberg Regional Council area to apply) : Postcode:
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Previous participation in the event?:
If No, how long have you been performing for?
Please provide a brief background of yourself as a entertainer/ group:
Please provide a brief description of your act/skills:
Average duration of your act/performance (eg. 1530mins):
What type of environment would be most suitable to your act: Roving inside
If Other, please describe:
What is the target market for your act/skills (eg. Children 5+)?
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Demo IMPORTANT: In order for the Sunday Art Market 2011 Application Form to be considered complete, the following documents MUST be attached. Failure to provide the following documents with this Application Form will render the application 'Failure to submit' and the application will not be considered. You must provide either one (1) or all three (3) of the following with your application: video, audio or photographic documentation of your act/skills. You must also be available to attend an interview if required. The above mentioned documents must be submitted to the Bundaberg Regional Art Gallery, together with this Application Form either via email at email@example.com or on a CD/DVD in the mail to: Bundaberg Regional Art Gallery, PO Box 3130 Bundaberg QLD 4670, or in person at: 1 Barolin Street, Bundaberg, QLD, 4670. If you are unable to submit the application and additional documentation as outlined in the above requirements, please contact the Bundaberg Regional Art Gallery on (07) 4130 4750 or via email at firstname.lastname@example.org
Other information Do you require access to a power source?
Please list any physical requirements that may need to be considered in the planning of this event (e.g wheelchair access):
Signing In submitting this Sunday Art Market 2011 Application Form, I declare that I have read and understood the Terms and Conditions outlined in the Bundaberg Regional Art Gallery Sunday Art Market 11 Terms and Conditions, and certify that I have full authority to enter into this application. I also declare that all information supplied on this form is true and correct: Signed for and on behalf of the Applicant by a person duly authorized to act on their behalf:
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Any questions regarding this Sunday Art Market 11 Application Form should be directed to the Bundaberg Regional Art Gallery on (07) 4130 4750 or via email at: bragpublicprograms@ bundaberg.qld.gov.au
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