| Event Details |
| Name of Student Group: |
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| Contact Info for Student Group: |
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| Name of Primary Organization: |
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| Name of Event: |
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| Event Date: |
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| Event Time: |
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| Description of Event: |
Sporting Dance / Formal Community Building
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Venue Information |
| Name of Venue: |
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| Phone Number at Venue: |
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| Name of Contact: |
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Event Risks |
| Inherent or Forseen Risks: |
Over Consumption Alcohol Poisoning Slips, Trips, Falls Minor Injuries (cuts, scrapes, sprains) Major Injuries (broken limbs, wounds, concussions) Drowning Collision (if driving event) Inherent Bus Risks Heat Exhaustion Allergies Food Poisoning Other: |
| Precautions Taken to Avoid Risks: |
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| Estimation of Participant Numbers: |
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Transportation |
| Mode of transportation: |
On-campus; No Transportation Provided Public Bus Charter Bus, name of company is Personal Vehicle Driver is aware of rights and responsibilties Yes No Other: |
Bus Information: (if applicable) |
Primary Organiser has read the SRM bus policy Ordered barricades from Physical Resources (over 200 people) 2 Bus Monitors per bus (Signing Contracts) 2 Line Monitors per loading area (over 200 people) (Signing Contracts)
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Physical Activity or Overnight Event |
| Yes No |
| Overnight: |
If overnight trip for more than one night, are you having an alternate primary organiser? Yes No If yes, make sure both POs have signed PO contracts and have indicated at which times during the trip they are assuming responsibility. |
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Will alcohol be available? Yes No |
Other Information |
| Event Complies With: |
Crowd control regulations (from SRM manual) Yes No Fire prevention recommendations (from SRM manual) Yes No |
| Special Precautions Taken: |
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| Advertising: |
Have you begun advertising for this event?Yes No Please read our policy on advertising, as it is zero tolerance. |
| Waivers: |
Risky Event Waiver - regular risky event Risky Event Waiver for Bus Trips Risky Event Waiver - Signing waiver at the door of venue One way bus trip waiver Physical activity or overnight trip waiver - No other waivers are necessary in these situations. If tickets are being sold waivers will be attached to the tickets. |
Please look over the SRM list of standard/typical events to see what events require what forms and need which issues addressed. |
Agreement |
Do you agree to follow the instructions and requirements as laid out in this form? Yes No |
Has the representative from your student group's executive who has received SRM training had a chance to look at this form? Yes No |
Please type your full name in the box below and push submit to agree |