Please complete the following information regarding your affiliation & the event you would like to host. Once completed, you will be issued an invoice for the event insurance based on the event information provided. 
 
Event Organiser Affiliation Fees

Tier 1 Affiliation – Up to 250 Participants per year
$330.00
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Tier 2 Affiliation – 251 to 500 Participants per year
$550.00
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Tier 3 Affiliation – 501+ Participants per year
$1,100.00
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The Certificate of Currency (insurance document) will be sent after confirmation of payment. 

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* 1. Name of Group / Club / Charity / Business:

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* 2. Evidence of Incorporation / Charity / Business:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 3. Key Contact:

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* 4. Approved Event Manager (If different from above)

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* 5. Event or Series Name:

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* 6. Athletics Event/s Type (i.e. cross country running, trail running, etc.)

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* 7. Event or Series Date:

Date
Date

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* 8. Interested Parties:

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* 9. Are roads blocked off for this event?

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* 10. If yes to the above Q9, has a third party been engaged to arrange this?

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* 11. Do you use any inflatables or equipment that requires inflation (other than balls and tyres) for participant interaction as part of the event? (i.e. jumping castles, slides etc.)

Please include at least one of the below documents (you may have overarching Event Plans that contain all elements, or separate documents for each plan). If you are hosting multiple events, please combine all event plans into a single PDF and attach here labelled appropriately.

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* 12. Risk Management / Emergency Plan:

PDF, DOC, DOCX file types only.
Choose File

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* 13. COVID Safe Plans:

PDF, DOC, DOCX file types only.
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* 14. Event Plan:

PDF, DOC, DOCX file types only.
Choose File

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* 15. Traffic Management Plan:

PDF, DOC, DOCX file types only.
Choose File

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* 16. Course Design Document:

PDF, DOC, DOCX file types only.
Choose File

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* 17. Other Documents:

PDF, DOC, DOCX file types only.
Choose File

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* 18. Participant Numbers:

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* 19. Do you intend on hosting more than 1 event in 2022/2023?

T