Name of Organiser Name of Contact
No and street Postcode
Email Telephone
Name and full description of the event Venue of the event
Estimated Maximum Attendance Cover levels Public Liability
Is the event to be organised in accordance with DTi Regulations? Please advise the number of stewards that will attend to ensure the safe running of the event
Has the local authority granted permission and the license granted? Has police approval been obtained?
Will the police be in attendance? Has the Fire Brigade been consulted?
Will first aid provision be made? Will alcohol be sold or supplied during the event?
Does a written contract exist between you and your exhibitors/contractors? Do written contracts of hire exist between yourselves and the venue?
Claims / Loss Experience Please give details of all losses whether insured or otherwise that have occurred in the last 5 years. If "none" state none