1.

Question Title

* 1. CONTACT DETAILS

Question Title

* 2. Are you:

Question Title

* 3. Which of the following associations will you be affiliating through for your event?

Question Title

* 4. MAIN Event Details

Question Title

* 5. Which event activities will you be conducting under this affiliation? (Tick all that apply)

Question Title

* 6. Please upload copy of your event program if any of your activities are listed as 'Other' or are not listed in one of the options provided in Question 5.

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

Question Title

* 7. Do you require cover under the NRCA group insurance policies for: (Tick all that apply)

Question Title

* 8. If applying for Personal Accident Insurance Affiliation in this application, please list 'estimated' number or riders, officials and/or workers per day *Personal Accident Cover is Compulsory for all RODEO riders

Question Title

* 9. If conducting more than one event during the policy period, please list all
events requiring insurance below.  (Skip this question and go to Q10 if this does not apply)

Question Title

* 10. Do you have a COVID-19 Safety Plan in place for your event?

Question Title

* 11. If Yes, please upload copy 

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

Question Title

* 12. If no, NRCA CovidSafe Safety plans and guidelines are available to all affiliates. Please indicate if you would like a copy supplied.

Question Title

* 13. TERMS & CONDITIONS OF AFFILIATION 
(By clicking each check box, you agree to accept the terms and conditions of affiliation provided by the National Rodeo Council of Australia Ltd)

Question Title

* 14. Do you have any other comments, questions, or concerns?

Page1 / 2
 
50% of survey complete.

T