Get Active Together Expression of Interest Form

Get Active Together Club Promotion Days and Pop Ups

This form needs to be submitted 30 days prior to your Club Promotion Day or 15 working days ahead of booking your pop-up. City of Rockingham support cannot be guaranteed if this timeline is not met.
1.Club name(Required.)
2.Contact name for main event organiser (for public display)(Required.)
3.Contact mobile number for event (for public display)(Required.)
4.Contact email address for event (for public display)(Required.)
5.What is the key target audience for your event?(Required.)
6.What is the confirmed date/s of your club promotion day/event?(Required.)
7.What Saturday/s do you want to book Churchill Park pop up space? Available on Saturdays only between 07 am-10 am, beginning Saturday 6 September 2025 and ending Saturday 30 May 2026. The City retains the right to refuse bookings.(Required.)
8.Title of your event and activities or attractions planned for the day(Required.)
9.What is the venue location and street address where the event will be held?(Required.)
10.Key message/s for the event(Required.)
11.Upload flyer and/or logo or other promotional materials
No file chosen
12.Select support you require assistance with(Required.)
13.Any other comments?