Dubbo Australia Day Event Expression of Interest

Given Name* - required

Preferred Name

Family Name* - required

Phone Number* - required

Email Address* - required

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Live Performance Children's Activity Community Information Stand

Please specify and provide details about your activity.* - required

Do you have public liability insurance if needed?

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Do you have product liability insurance if needed?

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Do you have a Working With Children Check?

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Will you prepare a risk assessment if required?* - required

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