Walk for Awareness Event Day Activation Form

We look forward to having you a part of the 2022 Walk for Awareness. Please complete this form to confirm your attendance at the event.

It is a requirement this year that all vehicles that require access to the venue/through road closure points will need to have their registration and driver contact details lodged in advance. Please ensure these details are included on the form or emailed at least one week prior to the event.

For health and safety reasons we can’t have any vehicle movement after 5:30am on Sunday October 9 (this includes exiting the site). Please keep in mind that there will be a number of vendors bumping in, as well as road closures in place, so please ensure that you and your team allow additional travel time as there may be some delays.

Please phone Ally Gray 07 3139 0397 if you have any questions.

PLEASE NOTE: The last date to supply vehicle details is Monday 3rd October.

Walk for Awareness Activation Booking Form

Company Details
Company*
Name*
First Last
Email*
Company Website (If available)
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Public Liability Insurance Certificate
Drop files here or

Max. file size: 32 MB.
ONSITE CONTACT
Event day contact (if different to above)
First Last
Mobile Phone
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Required for COVID contact tracing
Activation Requirements
Are you providing your own marquee?*
If you require a marquee or additional furniture please contact info@emsaustralia.net.au and we will send you through a quote to hire.
What is the exact size space you will need?*

This will impact our capacity due to COVID regulations, so please not that your activation will not be able to extend beyond the size given. E.g. 6x3m, 3x3m
Number of staff onsite*
Power Required? If yes, please specify.*

E.g. 1 x 10amp connection
Do you require a water/tap connection? If yes, please specify.*
Do you require any additional needs from the event crew?
Vehicle Registration, Make and colour*

(required for bump-in/out)
When will you bump in?*
- Saturday, 8 October: between 10am – 3pm
- Sunday, 9 October: between 6:30am – 7:30am
What time will you arrive?*

Please provide a specific time, and note that you will need to check in with EMSA on arrival
Detail on what you will be activating*
Help us spread the word and provide a media story
The new media team a keen to get as many stories out and about across all media channels so please send through any story's that you would like to share
Hygene Requirements*
You are required to provide the following
- Hand Sanitiser (for staff and event attendees)
- Disinfectant to wipe down surfaces regularly
Agreement*
Walk for Awareness raises much needed funds for the Mental Awareness Foundation. By signing this form you are agreeing to support this foundation. You also agree to carefully follow the Safe procedures developed by the event organisers.
- I AGREE to support the Mental Awareness Foundation

Walk for Awareness Event Day Activation Form

Walk for Awareness Activation Booking Form

Company Details

ONSITE CONTACT

Activation Requirements