SITE APPLICATION FORM Site no….........

For Saturday .................................... 8.30am - 12.30pmTo be held at Victoria Square - Kadina

Name: .............................................................................................................

Postal Address:..............................................................................................................

Phone: .............................Mobile:........................................ Fax...........................

Email:.............................................................................................................

Apply to sell: ……………………………………………………………………………....... Qty Item Cost per

itemTotal $ Notes

Single site 3m x 3m $25.00 No vehicles on this size site

Double site 6m x 3m $45.00Tables $ 8.00Power $ 5.00Gazebo $25.00Insurance $10.00

NB All Stallholders must have Public Liability Insurance and ensure we have a current copy of contract. If you do not have insurance, a single market cover is available from us.Contact Robert Cross 8821 1265 Graham Wearn 0418 859 004 Peter Oswald 0447 679 253 Robert Venning 0418 817 739

Market Phone 0447 768 279 Email rotarynyp@gmail.com

I …………………………………………………(Please read and sign “Conditions of Hire” Page 2) (Applicant’s signature)

PAYMENT RECEIVED BY…………………………………………………………….DATE RECEIVED………………………………. (Rotarian’s signature)

Amount Received $.......................Bank Detail

Account Name: Rotary Club of Northern Yorke PeninsulaBSB 105 004 Account no. 051208340

Return address Rotary Markets Box73 Kadina 5554 Phone. 0447 768 279

Rotary Club of Northern Yorke Peninsula – Markets Receipt

Kadina Markets

Date ..........................................................................................

Site Holder............................................................................... Amount

Received $

Signed ....................................................................................

Rotary Kadina MarketsSTALL HOLDERS CONDITIONS OF HIRE

1. Site for market will be in Victoria Square Kadina South Australia.2. Base sites (3m x 3m) are not permitted to have vehicles on site during the Market.3. The availability of power is limited and must be confirmed at time of booking.4. No refunds or reimbursements will be given for non-attendance.5. The organisers reserve the right to cancel a market due to bad weather or lack of

registrations of stalls. In this event fees will be refunded.6. The stallholder agrees to indemnify and to keep indemnified the District Council of

the Copper Coast and Rotary Club of Northern Yorke Peninsula, their respective servants and agents, and each of them from and against all actions, costs, claims, and damages, charges and expenses whatsoever, which may be brought or made or claimed against them or any of them arising out of or in relation to the markets or any product or services supplied.

7. All foodstuffs must be produced, handled packaged, stored, labelled and sold in strict compliance with Council health regulations. A copy is available from the District Council of the Copper Coast office at 51 Taylor Street, Kadina

8. Any Stallholder using any electrical appliance or extension cords must have them certified and tagged.

9. The organisers reserve the right to remove any persons from the market.10. The stallholder shall take out and keep current, a Public Liability Insurance policy

for the minimum sum of ten million dollars against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against the stallholder in relation to the activity. Such policy must be produced and a copy kept on file by the market organisers. If no such document is sighted, an insurance premium of $10 per site per market must be paid at the time of application.

11. Stallholders will be admitted to the site from 6.30am on market day. Market is open to the public from 8.30am.

12. Stallholders must comply with all safety requirements.13. Stallholders with animals must provide them with adequate shade, shelter and

water at all times.14. Sale of raffle tickets is not permitted except from a dedicated site for which

approval has been obtained.15. A first aid kit is located at the Rotary Tea/coffee stall, but stalls who use cooking

facilities are required to provide their own, plus a 5.5kg carbon dioxide fire extinguisher and a fire blanket.

16. Goods and services which have some latent danger or are hazardous shall not be offered for sale.

17. Public toilets (including disabled) are available at the southern side or the park18. The organisers reserve the right to refuse any application.19. The Rotary Club of Northern Yorke Peninsula must have a signed copy of this

document on file.

I have read and agree to abide by the conditions as outlined above

Signed: ………………………………………………………………….. Dated: …………………….

Please print name ………………………………………………………………………

*Please note, we only require one copy of this form which will be held on file

Rotary Club of Northern Yorke Peninsula PO Box 73 Kadina 5554 Phone 0447ROTARY