Small Low Impact Event in a Council’s Park, Reserve or Sportsground Application Form

About This Form

The application process is to assist in ensuring that events are safe and successful.

This form applies to events of 150 people or less.
Prior to completing this application form please discuss event date and venue suitability with Council’s Parks Facilities Officer on 9847 6666 or email hsc@hornsby.nsw.gov.au.
Council requires six (6) weeks notice prior to your event to process this application form.
An event application fee will be invoiced upon approval and payable prior to event date.
Please use Council’s Medium or High Impact Event Application Form if your event requires one or more of the following:
- firework displays / pyrotechnics
- traffic management / road closures
- alcohol
- more than one inflatable amusement or mechanical rides or amusements

Applicant Details

Applicant / Company / Organisation Name *

Contact Person Name *

Position *

Postal Address *

Email Address *

Phone

Mobile *

Organisation status

Not for ProfitCharityCommercial

A copy of not for profit or charitable status must be supplied

Browse

ABN

Previous Events Undertaken by Organisation

Public Liability Insurance

Valid Public Liability Insurance cover for $20,000,000 is required prior to any approvals being issued.
You and any contractors will also need to have adequate workers compensation and other insurances as required by law.

Please attach a copy of your Public Liability Insurance Certificate of Currency

Browse

Expiry Date

Event Details

Event Name *

Event Date *

Proposed Venue *

Alternative Venue (if proposed venue is not available and/or suitable)

Event Start Time *

Event Finish Time *

Bump In Date *Bump-in should commence from the first date of any equipment delivery stage/toilets/marquees/bins.

Bump Out Date *Bump-out is when equipment collection and pack-up onsite has been completed.

Bump in Time *

Bump Out Time *

Other Type of Event *

Other Target Audience *

Event Description (100 words or less) *

Event History

Is this event? (more than one (1) may apply) *

NewOne-off EventExistingRecurring

Previous Date *

Previous Venue *

Event Infrastructure

All structures need to be weighted, pegging is not permitted.
This form only permits one (1) amusement or activity. Includes, but not limited to, a ride, Jumping Castle, Petting Zoo, Bubble Soccer. All amusements and some activities will require public liability insurance ($20,000,000 minimum).
Council’s toilet requirement is 1 to 6 toilets for under 249 people.
Electrical cords crossing public paths and open spaces must have surface cord covers or be heighted in accordance with AS/NZS 3000:2007 standard wiring rules.
Power, water and floodlights not available in all parks and reserve and a fee may apply.
Keys may be required for one or more of the following: gate access, change rooms, power box, toilets, canteen.
Barriers are also required to protect garden beds, statues, memorials etc., and any other external equipment such as generators that are brought onto the site.

MARQUEE(S)

Marquee Required? *

Total Number *

Size(s) *

Location *

Purpose *

AMUSEMENT RIDE OR ACTIVITY

Amusement Ride or Activity Required? *

Type *

Please attach Amusement/activity Certificate of Currency *

Browse

Expiry Date *

TOILETS

Toilets Required? *

Total Number *

Location *

POWER REQUIRED

Power Required? *

Purpose *

GENERATORS (supplied by Event Organisers)

Generators Required? *

Total Number *

Location *

Purpose *

WATER

Water Required? *

Purpose *

FLOODLIGHTS

Floodlights Required? *

Purpose *

Time On *

Time Off *

KEYS

Keys Required? *

Please Specify *

Risk Management

Please provide a brief overview of the risk management strategy for the event. If required, attach additional documentation. The risk management plan should include COVID-19 Safety Plan and protocols, managing pedestrian traffic flow, use of equipment and management of other hazards. *

Site Plan

Please attach a copy of the proposed event venue site plan, which must show the proposed location and size of event infrastructure including but not limited to:

Entry and Exit
Existing features
Marquees and stalls
Portable amenities
Signs and banners
Emergency and evacuation areas
PA Speakers
Generators
Amusement/activity location/area
Bins

Please attach the 'Proposed Event Venue Site Plan' *

Browse

Waste Management

Waste Management for events is organised through Councils dedicated Waste Team. Please complete their online submission form: Event Waste and Recycling form | Hornsby Shire Council (nsw.gov.au)

All waste enquiries including the request and delivery of bins need to be referred to the Waste Team directly 13 70 30.

Please note: All waste must be removed from the site or contained in waste bins. Failure to remove or contain waste will result in a deduction from or loss of event security bond.

Council provision of waste bins requested

I understand it is the event organiser’s responsibility to arrange the removal all waste from the site or contain waste in bins or risk losing partial/full event bond.

Number of additional bins requested:

Environmental Sustainability

Environmental Sustainability Measures

Hornsby Shire Council encourages all event organisers to minimise the environmental impacts of their events.

All events should be in accordance with Council’s policy and guidelines on environmental sustainability.

Notification to Residents

Please attach a copy of a Residents notification detailing:

event name, date, time and event organisers and contact mobile phone number
and the likelihood of increased noise and traffic in the area

Letter shall be distributed at least a week before the event.

Notification to Residents Letter *

Browse

Application Declaration

I declare and acknowledge that:
• all the information in the application is to the best of my knowledge true and correct
• the event does not include firework displays / pyrotechnics, traffic management / road closures, alcohol and/or more than one amusement
• an event application fee will be invoiced upon approval and payable prior to event date
• if the information provided is misleading, any approval granted may be voided.
• Application assessment takes 6 weeks provided all documentation is included at time of lodgement.
• You will be contacted if additional information is required Council *

Applicant’s Name *

Date *

Signature *

Draw signature|Type signatureClear

Other Approvals

There may be other approvals you must obtain before running your event (including but not limited to other statutory authorities (eg. Police, Transport for NSW, NSW Office for Children’s Guardian, NSW Fire Brigades, NSW Rural Fire Service).

It is your responsibility to ensure you have received all the approvals necessary to stage your event. For further event information visit NSW Government Premier and Cabinet website - Event Starter Guide.

Save and Complete Later