Event Approval Form

Department *

If Other, please specify.

Event Name *

Venue *

If Other, please specify

Event Leader *

Event Date *

Start Time *

End Time

Attendance

Number Of Leaders *

Tip: Total Number of Leaders present

Estimated Attendance *

1-10

11-20

20+

First Aid Qualified leader present? *

Yes

No

First Aider(s)? *

Tip: please list

Male Leaders?

Tip: Please list.....

Female Leaders?

Tip: Please list....

Activity Type

Activity Type *

Small Group/Bible Study

Regular Youth Night

Offsite Activity

**Offsite Event - EXTRA RISK ASSESSMENT REQUIRED

CONFRIM

YES

Are there any "unusual" Risks expected? *

Yes

No

If YES, add details.....

Transport Required? *

Yes

No

Cooking Involved? *

Yes

No

Water Activity? *

Yes

No

Sport Involved? *

Yes

No

Submission

First Name

Email Address

Date Submitted

Last Name

Mobile Number

EVENT APPROVAL FORM