app1000 music festival licence application · app1000 music festival licence application liquor &...

APP1000Music festival licence application

Page i of iLiquor & Gaming NSW Lvl 6, 323 Castlereagh St, Haymarket NSW 2000 | GPO Box 7060, Sydney NSW 2001 T 1300 024 720 | W liquorandgaming.nsw.gov.au

Liquor & Gaming

Before you complete this form

What this form is forThis application form is for individual/s or organisations who have been asked by the Independent Liquor and Gaming Authority to apply for a music festival licence.

A music festival is: • music-focused or dance-focused, and • has performances by a series of persons or groups that are engaged to

play or perform to live or pre-recorded music, or to provide another form of musical or live entertainment, and

• is held within a defined area, and • is attended by 2,000 or more people (on any day), and • is a ticketed event, and • is not a concert.

What you need to knowThe applicant must be the festival promoter or organiser.The licensee must be the main organiser of the music festival. The approved agent must be an individual.A licensee may decide to appoint an agent to sell and supply liquor under the music festival licence.Any other liquor licences at the venue will be automatically suspended for the duration of the music festival. If the application is granted, the applicant will become the licensee.Please lodge your application at least 90 days before the music festival start date. An accelerated application fee may be charged if you lodge your application after this date.You are encouraged to reach out to your Local Police Area Command, Local Health District and NSW Ambulance before you lodge your application. This will allow you to incorporate their feedback into the Safety Management Plan which you need to provide to us as part of your application.The processing fee for this application is not refundable if the application is withdrawn or not granted.

Next stepsFollowing lodgement, L&GNSW will provide copies of your application and your Safety Management Plan to an inter-agency assessment committee. This committee will assess whether your Safety Management Plan appropriately deals with the risks associated with your event and will provide expert advice and support to run safer events.

Need more information? liquorandgaming.nsw.gov.au music.festivals@liquorandgaming.

nsw.gov.au

How to lodge this form music.festivals@liquorandgaming.

nsw.gov.au Include ‘APP1000 Music Festival application’ in the subject line.

Liquor & Gaming NSW GPO Box 7060 Sydney NSW 2001

Liquor & Gaming NSW Level 6, 323 Castlereagh Street Haymarket NSW 2000 Monday–Friday, 9am–5pm

Provide all pages of this application and attachments. There’s no need to attach this introduction page.Lodge a copy of all pages of this application, including attachments, at the Police station closest to the licensed premises and the Liquor Licence Application Notice to the Local Consent Authority, within 2 working days of lodging with L&GNSW.If you do not comply, your application may be invalid. Your application will be posted on the liquor and gaming application noticeboard on our website for 14 days from lodgement and be open to public submissions.

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http://www.liquorandgaming.nsw.gov.auhttp:// contact.us@liquorandgaming. nsw.gov.amailto:music.festivals%40liquorandgaming.nsw.gov.au?subject=mailto:music.festivals%40liquorandgaming.nsw.gov.au?subject=mailto:music.festivals%40liquorandgaming.nsw.gov.au?subject=mailto:music.festivals%40liquorandgaming.nsw.gov.au?subject=

Page ii of iiLiquor & Gaming NSW Lvl 6, 323 Castlereagh St, Haymarket NSW 2000 | GPO Box 7060, Sydney NSW 2001 T 1300 024 720 | W liquorandgaming.nsw.gov.au

Before you complete this form continued

Pre-lodgement checklistIf information is missing, processing this application will be delayed and the application may be withdrawn.

Have you answered all questions? Have you attached a detailed plan of the event area (site plan)? Have you attached your Safety Management Plan? Have you attached a copy of your Development Consent or landholder approval?

Have you attached your public liability insurance certificate? Have you attached the approval from existing venue licensee owner for temporary suspension?

Have you signed the declaration?Attachments

Detailed site plan Development consent/landholder approval Alcohol plan of management Public liability insurance certificate Proposed list of scheduled artists

Post-lodgement checklistWithin two days of lodging this application with L&GNSW you must:

Lodge a copy of your application at the nearest Police Station Lodge a copy of the Liquor Licence Application Notice at the nearest Local Consent Authority.

Your privacyWe will handle your personal information in accordance with the Privacy and Personal Information Protection Act 1998. It is being collected by Liquor & Gaming NSW and will be used for the purpose of processing your application and may be disclosed to other Government agencies for this purpose. General information about your application may be published on an electronic noticeboard and information about the application, if granted, on a public register. Providing this information is voluntary, but where relevant information is not provided this may lead to your application being refused, delayed or not further considered. You have the right to request access to, and correct details of, your personal information held by us. You can access further information on privacy at liquorandgaming.nsw.gov.au.

http://www.liquorandgaming.nsw.gov.au

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Page 1 of 23Liquor & Gaming NSW APP1000 Music festival licence application

APP1000Music festival licence application Liquor & Gaming

OFFICE USE ONLY APP1000

By Email Mail OTC

Date lodged DD / MM / Y YYY

Amount paid $

GLS receipt no.

Application no.

Finalised by

Date finalised DD / MM / Y YYY

Approval no.

Part 1 Primary contact

Mr Ms Mrs Miss Other Given name

Family name

Daytime phone

Email

Is there an existing liquor licence at the premises where the music festival is being held?No Yes If Yes, please provide the following details:

Liquor licence number

LIQ Date

DD / MM / Y YYY

This licence will be suspended for the duration of this event.

Do you have the existing owner’s approval for the temporary suspension?

Yes No Have you notified the following agencies of your event?

Consent Authority/Landholder NSW Police Area CommandNSW AmbulanceLocal Health District

Your application will be shared with NSW Health and the NSW Police Force.

Part 2 About the festival

Festival name We will use this as the licence name

Festival start date

DD / MM / YYYY

Festival end date If the festival ends after midnight (12:00am or later), show the end date as the next day.

DD / MM / YYYY

Where will the music festival be held? a ‘physical’ street address

Suburb/town/city

State Postcode

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Liquor & Gaming NSW APP1000 Music festival licence application

Is this festival: Indoor Outdoor

Both indoor and outdoor

Local Government Area (LGA)

Demographic of attendees Under 18 18-29 30+

Expected number of patrons* *Please attach ticket sales data (if available)

Duration If less than one day:

hours

If multi-day:

days

Type of music: Please also provide a proposed list of scheduled artists

Event description

Has a licence been previously granted for this music festival?No Yes If Yes, please provide the following details:Liquor licence number

LIQ Date

DD / MM / Y YYY

Have events by this organiser or landholder in the previous 3 years seen a death or intensive care unit admission that is reasonably expected to be because of alcohol or drug use, or caused by crowd behaviour or improper safety management?No Yes If Yes, please provide details in table A on Page 5 of this form.

Part 3 Key event details

Please outline the following arrangements for your festival

3A Development Consent / Landholder Approval

A copy of the landholder or development consent Approval for a multi-year event from landholder and evidence of notification (e.g. notice or email), if applicable

3B Sale/Supply of alcohol

Will there be sale and supply of alcohol? Yes No

3C Liquor trading hours

The licence will be subject to a 6-hour closure period, which is a continuous block of time in each 24-hour period, during which the licence must not sell/supply liquor. The period cannot start any earlier than midnight. Standard trading hours are affected by the 6-hour closure period. Liquor & Gaming NSW will approve a period that is appropriate to the particular premises and the circumstances, having regard to the objectives of the Liquor Act 2007.6-hour closure period:

start time : end time :

If the proposed hours for the 6-hour closure period are not 4:00am to 10:00am, you must provide reasons and relevant information in support of the closure period proposed.

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Applicants should provide an account of the current or proposed mode of operation of the licensed premises, the demonstrated or likely needs of its patrons, the interests of the local community and the opinion (if any) of local Police towards the proposal.Hours during which liquor will be sold/supplied:Show times as 10:00am or 6:00pm. Show midday as 12:00pm. Show midnight as 12:00am.

Music festival date(s)

Music festival Time liquor will be sold/supplied

start time

end time

start time

end time

DD / MM / Y Y : : : :

DD / MM / Y Y : : : :

DD / MM / Y Y : : : :

DD / MM / Y Y : : : :

DD / MM / Y Y : : : :

DD / MM / Y Y : : : :

If liquor will be sold/supplied after midnight, what steps will be taken to ensure the quiet and good order of the neighbourhood will not be disturbed?

3D Appointment of an approved agent

A licensee may decide to appoint an agent to sell and supply liquor under a music festival licence.The licensee must be the main organiser of the music festival. An approved agent must be an individual.

Will this music festival have a licensee and an approved agent?No Yes If Yes, please provide details below:Approved agent details


Family name

Street address

Suburb/town/city

State Postcode

Email

Daytime phone

Approved agent competency card number

Liquor licence number

LIQ

It is a condition of the licence that the agent, appointed by the licensee, must be approved by the Authority.

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3E How to complete your site plan

Clearly mark and label the following:

• Proposed licensed area • The location of

– all entry and exit points – all bars – all free water stations – all food outlets – all shaded areas and/or chill out zones – all first aid or medical facilities in place

• The access point and/or path for medical andemergency services.

Part 4 Harm Minimisation and Incident Response

Have you attached your Safety Plan of Management?No Yes If Yes, does it include measures to address the risks of:

Medical services and harm reduction Yes NoResponsible service of alcohol Yes NoSecurity and crowd management Yes No

Safety Management Plan summarySafety Management Plans are an integral part of the Music Festival Licensing assessment process. Your application and safety management plan will be reviewed by the inter-agency committee comprised of Liquor & Gaming NSW, NSW Health and NSW Police to assess the adequacy of your plans. • Instructions

1. Before completing this part of the application pleasemake sure that you have reviewed the Music Festivalguidelines at liquorandgaming.nsw.gov.au.

2. Provide sufficient detail in Tables A-D on Pages 5 to 13 inthis form to allow agencies to conduct an initial riskassessment of the event and your proposed mitigations.Guidance has been provided in grey text in the tables,please replace grey text with your own event details.

3. Please provide a cross-reference to the safetymanagement plan name and page number wherefurther details can be found. You can have a singleManagement Safety Plan, or several sub plans(e.g. separate medical, liquor and security & crowdmanagement plans) which collectively constitute yourSafety Management Plan.

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Remember to include the relevant page references to your safety management planImportant: All sub-headings in each section must be completed

Table A – Key event detailsFactor Applicant comments

Consultation with stakeholders Name and contact of stakeholders and include date(s) and method of contact:• NSW Police• NSW Ambulance• NSW Health - Local Health District• NSW Health Emergency Management Unit• Peer based harm reduction service

Fatalities or clinical presentation in the last three years

Provide details of any fatalities associated with this event by yearProvide details of serious medical presentation(s) associated with this event by year(e.g. 2018 – X clinical presentations to medical services; X hospital admissions)

Table B – Medical services and harm reductionConsideration Proposed Controls (and relevant management plan reference)

1. Medical Services

Medical PersonnelManagement plan - page reference no.

Multiple drug and other critical care presentationsMultiple presentations requiring concurrent care

Staff Numbers, Qualifications, Experience & RosterHow many medical staff will be on site? Are they likely to be required to treat more than one critical care presentation at once?What are their qualifications? E.g. Doctor, Nurse, Paramedic or General First AidHow long will they be on duty for?Example:• X Doctor(s) (Fellow of the College of XYZ - a specialist critical care physician with X years’

experience), entire event• X Nurses (e.g. RN, X years’ experience), X hour shifts• X Paramedics (specify qualifications), X hour shifts[If names not yet available, list qualifications and numbers of staff of each type proposed for the event. Details of specific individual staff must be provided in updated plan before the licence is issued].

First Aid ProvisionExample: x First Aiders with XYZ training/qualification

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Rostered HoursProvide a roster of staff hours in your plan – specific to the positions outlined above. If names not yet available, list numbers and hours of staff of each type.

LocationsSpecify location of medical teams – fixed medical tent or medical tent plus roving team(s).

Emergency VehiclesManagement plan - page reference no.

Ambulances may need to be pre-deployed onsite for high risk events

Pre-deployed ambulances (if applicable)Will one or more ambulance(s) be pre-deployed onsite? Are they operated by NSW Ambulance or a private provider?

Largeer and/or high risk events may need an Ambulance Forward Commander

Is provision for an Ambulance Forward Commander included in your plan Yes No

Ambulances need unobstructed access to the medical tent – measures need to be in place to ensure crowds do not obstruct ambulance access

Ambulance accessConfirm ambulance(s) have clear unobstructed access, not blocked by patrons or other obstacles - Mark on site map location for helicopter retrieval (if provisioned)

Acute health services proximity to eventManagement plan - page reference no.

Nearby hospitals may not have suitable acute care facilities or be overwhelmed by multiple presentations from your event and/or other events nearby

Nearest hospitalWhat is the distance by road (time and kms) to the nearest hospital?

Nearest tertiary hospital (if different)What is the distance by road (time and kms) to the nearest tertiary hospital? (refer to NSW Health guidelines re: definition and list of tertiary hospitals)

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Onsite ProcessesManagement plan - page reference no.

Systematised approaches are crucial to ensuring patients receive appropriate care.This includes early identification of clinical features of concern, regular monitoring, initiation of appropriate management, pathways for onsite escalation and initiating early transfer to hospital where appropriate

Triage & MonitoringConfirm protocols for triaging and monitoring medical presentations on the day

Medical TreatmentConfirm protocols for medical treatment on the day

Hospital TransfersWhat protocols are in place for determining when to transfer patients to hospital?

2. Harm Reduction Services

Harm Reduction ServicesManagement plan - page reference no.

Will peer-based harm reduction support services that resonate with the festival patrons be provided and present at the festival to engage regarding drug and alcohol harm reduction?

Give a brief summary of their services.Confirm what Harm Reduction Support Service is contracted/engaged for the event. Include details of support services provided such as:• free health and welfare education and support, e.g. sunscreen, earplugs and water• drug and alcohol harm reduction information and information on referral pathways to

treatment and support• care for intoxicated persons experiencing distress including appropriate referral to

medical teams• peer educators that rove the festival to engage with festival patrons, undertake brief

interventions with a drug and alcohol focus and identify patrons ‘at risk’ of harms.• distribute bottled water to patrons as required or direct to water stationsDo volunteers have training in first aid, peer education, drug management, identifying intoxication/toxicity and drug and alcohol harm reduction?

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Chill out spaceManagement plan - page reference no.

Spaces staffed by appropriately trained peer-based harm reduction services to support patrons. Patrons receive individual support and monitoring in a cool, quiet, dimly lit area.

Confirm number of dedicated chill out zones with supervision arrangements at the festival.

What is the transfer process from chill out space to medical tent?

Confirm whether a chill out space is located outside or adjacent to the main venue entry/exit, to provide support to patrons before entering and on leaving the event.

What is the duty roster for Harm Reduction Service Staff or other event staff for each chill out zone?

Dehydration and water availabilityManagement plan - page reference no.

Heat and alcohol or drug taking can quickly lead to dehydration

Provision of water.• Confirm how many free water stations will be available outside of the bar areas and how

many bottle refill outlets/taps and bubbler dispensers will be at each water stations. – Will these be refillable or free flow stations? – Will these be chilled?

• Confirm whether free chilled bottled water will be available in the harm reduction/chill outspace and/or medical tent

• Confirm whether chilled water will also be available for sale at the event• Confirm whether attendees will be permitted to bring empty drinking bottles into the event• Confirm whether water stations will be shaded or other arrangements will be in place so

that it remains drinkable and does not overheat.

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Drug and Alcohol ManagementManagement plan - page reference no.

Key risk factors associated with Music Festivals include head, drug and alcohol related to illness, injury, overdose, death and antisocial behaviour. These events can strain local hospital and ambulance resources

Is the event being promoted as ‘drug free’? Yes No

If so, where?

Will Security Guards be conducting Bag Searches on entry to detect illicit substances? Yes No

Identification And Management Of Intoxicated Patrons

What is your policy on identification and management of intoxicated patrons?

Who will be responsible for identifying intoxication during event? (e.g. security, roving medical teams, bar staff, DanceWize/Save A Mate)

What training will be in place to assist responsible persons in recognising and responding to alcohol and other drug harms: event, bar and security staff? - What proportion of your bar, security and event staff have completed the training?

Outline management of intoxicated patrons, including assessment, moving to medical tent or chill out space, and process for ejecting intoxicated patrons (ensuring due diligence is used). Will arrangements be in place to observe egress from event to detect intoxication and provide assistance at end of event?

If event is being held over multiple days, will arrangements be in place to observe accommodation areas to detect intoxication and provide assistance throughout the night?

Harm Reduction MessagingManagement plan - page reference no.

Young people in distress unsure when or where to seek medical or other assistance

Will harm reduction messaging be communicated to patrons before, during and after the event? If so, how will this be communicated?

For example:• Prior to the event through our website, social media, event app with ticketing information)• During event – messaging on screens, event app, social media• Post event - website, social media, event app

If so, does the messaging include:• Signs and symptoms requiring medical attention• Where to get help (medical tent, chill out space, peer educators)• You won’t get in trouble if you seek help• Keep hydrated• Take regular breaks• Look out for your mates• Travel home safely and with a friend

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Extreme weather - sun exposureand dehydrationManagement plan - page reference no.

Hot weather or extreme temperatures can lead to people experiencing poor health outcomes, especially in combination with intoxication from alcohol or drugs. All events run from September to April should anticipate that extreme heat is possible and consideration should be given to routinely undertaking active cooling measures when necessary

Weather Monitoring

What are the forecast temperatures and humidity for the day (what is the average temperature for the time of year)? Will a weather forecast assessment be conducted 48 hours prior to the commencement of the event and adjustments made in response to any changes?

What structures are in place to protect patrons from extreme weather (heat and humidity, heavy rain, cold, hail, severe wind).

Who will be responsible for monitoring weather reports through the day and initiating additional resources as required?

Are shade areas marked on the Site Plan? Yes No

Will Additional Active Cooling Measures be made available in the event of a Hot Weather Forecast? (e.g. misting stations, air conditioning, fans or other)

Yes No

Please list

Will Hot Weather Messaging be Broadcast? Yes No

Sharps and contaminated wasteManagement plan - page reference no.

Needle stick injury

Needle and Syringe Disposal Containers Accessible Toilets only Toilets Medical Tents Other (identify on site plan)

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Table C – Responsible Service of AlcoholConsideration Proposed Controls (and relevant management plan reference)

RSA PracticesManagement plan - page reference no.

Preventing intoxication

Do all Bar Staff hold RSA Qualifications? Yes No

Will RSA Marshalls be operating at the event? Yes No

If yes, specify number:

Will food be available at the music festival? Yes No

If yes, please provide details and clearly indicate on the site plan where the food outlets will be located.

Will the licensed area be physically defined? Yes No

If yes, please describe how the area will be defined (e.g. fenced, within building) and clearly indicate the boundaries on the site plan provided.

What is the number and location of bars and selling points etc?

Will the applicant ensure that liquor is not taken away from the licensed area? Yes No

Will security officers be engaged for the duration of the music festival? Yes No

If yes, please provide the name of the security company, number of security officers and the security arrangements around licensed area (e.g. supervising lines) – may be RSA Marshall if suitably qualified.

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Drink RestrictionsManagement plan - page reference no.

Intoxication can be limited by appropriately targeted drink restrictions, especially in high patron capacity events

Are you proposing any drink restrictions at your event Yes No

If yes, please specify:Example of a drink restriction include:• No shots, shooters or neat spirits• 4 alcoholic drinks maximum per sale until 4 four hours before closing, then 2 drinks max

Please NotePursuant to Clause 85 of the Liquor Regulation 2018 it is a requirement that drinking water must, at all times while liquor is sold or supplied for consumption on the premises, be made available free of charge to patrons at or near the point of service. Water should be regularly replenished, and in hot weather chilled and out of direct sunlight.

Table D – Security & Crowd ManagementConsideration Proposed Controls (and relevant management plan reference)

Site security coordinationManagement plan - page reference no.

Control room, chain of command and communications channels established, disseminated and reliable• Control room location (onsite or offsite?)• Detailed chain of command positions• Communication methods (UHF, Wifi) and protocol for communication with NSW Police• Emergency Co-ordination key details• How will incidents be recorded and communicated to Police?• How will incidents be communicated to onsite medical provider?• Process for entry / exit surveillance for intoxication / illness and how to refer to medical

centre. For camping events, this includes monitoring of the roads to and from and thecampsite area.

Site Management - Patron Behaviour and Crowd ControlManagement plan - page reference no.

Orderly access to event, monitor for minors, well managed crowds, early detection of intoxication and/or appropriate responses to criminal behaviour• Provide staffing profile for the event including number of guards, proposed locations and

rostered shifts• Describe the proportion of security and other staff who have received specific training

about the management of alcohol and drug affected patrons• Are there protocols in place for early intervention and responding to criminal activity

established?

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Patron Supervision and restrictions on entryManagement plan - page reference no.

Minors prevented from entering over 18 events

Will there be ID checks conducted prior to entry Yes No

Will there be separate tamper resistant wristbands for under 18s? Yes No

Critical Incident EvacuationManagement plan - page reference no.

Safe evacuation of event

What protocols are in place in the event an urgent evacuation is required?

STANDARD LICENCE CONDITIONSThe following are general licence conditions proposed for the music festival licence, please indicate whether you consent. Additional conditions may be suggested by agencies as part of the licensing process.

Table E – Licence Conditions - Standard (incl. What is your response)

No Proposed Conditions Applicants Comments

1 Section 11A of the Liquor Act 2007 applies to this licence. Liquor must not be sold by retail on the licensed premises for a continuous period of 6 hours between 04:00 AM and 10:00 AM during each consecutive period of 24 hours. The licensee must comply with this 6-hour closure period along with any other limits specified in the trading hours for this licence.

2 Any drinks (whether or not it contains liquor) must not be served or supplied in a glass or breakable plastic containers. This condition does not apply to the back of stage area (known as the Back of House Bar - accessible only by Artists and invited guests) where glass may be utilised although must not be taken into the main public area accessible by patrons.

*Highlighted text may vary

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Part 5 About the applicant

The applicant must be the festival promoter or organiser

Note An applicant cannot be both an individual and an organisation.

5A Applicant (if an individual)


Middle name

Family name

Gender

Date of birth

DD / MM / Y YYYCity or town of birth

Email

Mobile

Home phone

Daytime phone

Driver licence no. State

Residential street address

Suburb/town/city

State Postcode

Country if not Australia

Postal address as above

Postal address GPO/PO box or street address

Suburb/town/city

State Postcode


5B Applicant (if an organisation)

Note If an organisation is applying for the licence, the organisation must appoint a person to manage the licence. Lodge application form AM0200 to notify us of the manager.If the manager has not already been approved by Liquor & Gaming NSW, also lodge application form APP900. (These applications must be lodged with the APP1000 ‘Music festival licence application’ form).

Name of organisation Must exactly match the name registered to the ABN/ACN.

ABN

ACN

Email

Website

Daytime phone

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Business address (a street address)

Suburb/town/city

State Postcode


Postal address (If different from business address. A PO Box if one exists)

Suburb/town/city

State Postcode


Is the applicant also the music festival business owner?

Yes No If No, please complete Part 6.

Part 6 Music Festival business owner

6A Business owner (if an individual)


Middle name

Family name

Email

Mobile

Daytime phone

6B Business owner (if an organisation)

Name of organisation

ABN

ACN

Daytime phone

Email

Website

Business street address

Suburb/town/city

State Postcode


Postal address as above

Postal address GPO/PO box or street address

Suburb/town/city

State Postcode

Country If not Australia

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Part 7 Legal or other representative

If the application is lodged by a legal or other representative:Name of representative

Representative’s business name

Email

Contact phone daytime

Address for correspondence

Suburb/town/city

State Postcode

Part 8 Declaration

• I declare that I am 18 years or older and I amauthorised to lodge this application. • I declare that the contents of this application includingattachments are true, correct and complete and thatI have made all reasonable inquiries to obtain theinformation required to complete the application. • I undertake to notify as soon as practical Liquor& Gaming NSW (L&GNSW) of any change to theinformation in this application, if the informationchanges before the application is determined. • I declare that immediately before or within two workingdays I will provide the required documents to the local consent authority and the local police station. • I declare that the applicant is not suspended ordisqualified from holding a liquor licence. • I acknowledge that under section 36 of the Gamingand Liquor Administration Act 2007 and section 307Aof the Crimes Act 1900. It is an offence to provide false,misleading or incomplete information in this application. • I acknowledge that failure to provide all requiredinformation may result in delay or refusal of the application. • I understand that specific details I have supplied in thisapplication may be ‘personal information’ under thePrivacy and Personal Information Protection Act 1998.Personal information is any information or opinion thatidentifies an individual, or enables someone to identifyan individual.

• I acknowledge that L&GNSW is collecting informationon behalf of Independent Liquor & Gaming Authorityto enable processing of the application. • I also understand that L&GNSW will use the informationfor its intended purpose only, store the informationsecurely, and allow the applicant or licensee to accessand update the information. When processing thisapplication, L&GNSW may disclose information to otherGovernment agencies. • I acknowledge that L&GNSW will publish generalinformation about the application on an electronicnoticeboard and information about the application,if granted, on a public register.

8A Applicant (if an individual)

Full name of applicant

Signature

Date

DD / MM / Y YYY

8B Applicant (if an organisation)

Executed under section 127 of the Corporations Act 2001.

1. Name of officeholder

Position e.g. director

Signature

Date

DD / MM / YYYY

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2. Name of officeholder (if more than one)

Position e.g. director, company secretary

Signature

Date

DD / MM / YYYY

If the application is lodged by a legal or other representative:Name of representative

Representative’s business name

Email

Contact phone daytime

Address for correspondence

Suburb/town/city

State Postcode

Part 9 Payment for this application

Use the Liquor Fee Schedule to calculate the fee for this application. The total fee can include a combination of a fixed fee and a processing fee. The processing fee component is non-refundable in the event the application is withdrawn or not granted. Fees are subject to change without notice and do not incur GST.Record the fee below:Payment amount $

Please pay by:

Credit card Cheque Cash Money order

Credit card paymentsA surcharge of 0.4% is added to credit card payments.

Card type MasterCard Visa

Card number

Name on credit card

Expiry date

MM / Y YYYCardholder signature

Date

DD / MM / Y YYY

Cheque and money order payments • Make payable to ‘Liquor & Gaming NSW’. • For cheques, please cross and mark ‘Not negotiable’.

Cheque drawer name

https://www.liquorandgaming.nsw.gov.au/Pages/liquor/liquor-licences/liquor-fee-schedule.aspx

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Page 18 of 23Liquor & Gaming NSW APP1000 Music festival licence application

APP1000Application notices Liquor & Gaming

InstructionsThe notices on the following pages must be lodged with the respective parties immediately before, or within two working days of, lodging an application.

Follow these instructions carefully. Failure to comply with all requirements may result in refusal of your application.

Police Notice

Complete the Police Notice A copy of the completed notice, application, and any attachments and plans must be lodged:

With the police station nearest to the premises immediately before, or within two working days, of lodging the application.

Lodge the original completed notice with the application to Liquor & Gaming NSW.

Consent Authority/Landholder Notice

Complete the Consent Authority/Landholder Notice A copy of the completed notice must be lodged:

With the local council or other consent authority.With the local council or other consent authority for a neighbouring local government area (LGA) if the premises are within 500 metres of the other LGA.With the Department of Industry – Lands & Forestry, if the premises are on Crown Land Lodge the original completed notice with the application to Liquor & Gaming NSW.

Failure to strictly comply with these requirements may result in this application being rejected.

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APP1000

Consent authority/landholder notice Application for a music festival licence Liquor & Gaming

APP1000 Local consent authority notice – application for a music festival licence

Application typeMusic festival licenceWhen lodging this application with Liquor & Gaming NSW, the applicant must immediately before or within two working days lodge this notice with. • the local council or other consent authority • if the premises are within 500 metres of another local government area,

the local council or other consent authority for that area

Note: This original notice must be lodged with the application to Liquor & Gaming NSW. It will be posted on an electronic noticeboard available at liquorandgaming.nsw.gov.au while the application is pending.

• the Department of Industry – Lands & Forestry if the premises are on Crown land.Complete all details below – then copy this notice and lodge the copy with each applicable organisation listed above.

Application detailsApplicant’s name Date of application

DD / MM / YYYY

Name of the music festival licence

Address of the music festival licence

Location at the premises (e.g. Hyde Park North)

Details

Date of special event Start DD / MM / YYYY End DD / MM / YYYY

Liquor trading hours Start time : End time :

6-hour closure period Start time : End time :

Signature of applicant

Date DD / MM / YYYY

Submissions about this application can be made to Liquor & Gaming NSW until the submission close date. Check the electronic noticeboard for the closing date for this application. Lodge submissions via the noticeboard.

LQ6143_280219


COUNCIL OR OTHER CONSENT AUTHORITY USE ONLY APP1000I, (insert name, position and organisation) Certify that this notice was received on

DD / MM / Y YYY

I advise, tick one

development consent is not required to permit the proposed activity

development consent is required but not in place

development consent is required and in place

DA no.

Submit this notice by email to [email protected]. Please include the applicants liquor licence number in the subject line, or post to Liquor & Gaming NSW GPO Box 7060, Sydney NSW 2001.

LIQUOR & GAMING NSW USE ONLYApplication number Lodged date Submissions close

DD / MM / Y YYY DD / MM / Y YYY

mailto:liquor.applications%40liquorandgaming.nsw.gov.au?subject=

LQ6143_280219


APP1000

Police notice Application for a music festival licence Liquor & Gaming

Application typeMusic festival licenceWhen lodging this application with Liquor & Gaming NSW, the applicant must immediately before or within two working days lodge this notice with. • the local council or other consent authority • if the premises are within 500 metres of another local government area,

the local council or other consent authority for that area

Note: This original notice must be lodged with the application to Liquor & Gaming NSW. It will be posted on an electronic noticeboard available at liquorandgaming.nsw.gov.au while the application is pending.

• the Department of Industry – Lands & Forestry if the premises are on Crown land.Complete all details below – then copy this notice and lodge the copy with each applicable organisation listed above.

Application detailsApplicant’s name Date of application

DD / MM / YYYY

Name of the music festival licence

Address of the music festival licence

Location at the premises (e.g. Hyde Park North)

Details

Date of special event Start DD / MM / YYYY End DD / MM / YYYY

Liquor trading hours Start time : End time :

6-hour closure period Start time : End time :

Signature of applicant

Date DD / MM / YYYY

Submissions about this application can be made to Liquor & Gaming NSW until the submission close date. Check the electronic noticeboard for the closing date for this application. Lodge submissions via the noticeboard.

LQ6143_280219

APP1000 Police notice – application for a music festival licence



POLICE USE ONLY APP1000I, (insert name, position and organisation) Certify that this notice was received on

DD / MM / Y YYY

Submit this notice by email [email protected]. Please include the applicants liquor licence number in the subject line, or post to Liquor & Gaming NSW GPO Box 7060, Sydney NSW 2001.



mailto:liquor.applications%40liquorandgaming.nsw.gov.au?subject=

ERL100Liquor licence data request

01 check box: Off02 check box: Off03 check box: Off04 check box: Off05 check box: Off06 check box: OffDD0: Lodged by: OffMM0: YYYY0: Amount paid: GLS receipt no: Finalised by: DD1: MM1: YYYY1: Approval no: 01 Salutations: Off06 Other Title: given name: family name: daytime phone 1: daytime phone 2: daytime phone 3: daytime phone 4: daytime phone 5: daytime phone 6: daytime phone 7: daytime phone 8: daytime phone 9: daytime phone 10: Email: Is there an existing liquor licence at the premises where the music festival is being held: OffLn1: Ln2: Ln3: Ln4: Ln5: Ln6: Ln7: Ln8: Ln9: Ln10: DD2: MM2: YYYY2: do you have the existing owner's approval for the temporary suspension: Offlocal council: Offnsw police area command: Offnsw ambulance: Offlocal health district: Offfestival name: DD3: MM3: YYYY3: DD4: MM4: YYYY4: where will the music festival be held: indoor: Offoutdoor: Offboth indoor and outdoor: Offlga: under 18: Off18-29: Off30+: Offexpected number of patrons: duration if less than one day: Offhours: duration if multi day: Offhours 2: type of music: event description: has a licence been previously granted for this music festival: OffLn1 2: Ln2 2: Ln3 2: Ln4 2: Ln5 2: Ln6 2: Ln7 2: Ln8 2: Ln9 2: Ln10 2: DD5: MM5: YYYY5: Have events by this organiser or landholder in the previous 3 years seen a death or intensive care unit admission that is reasonably expected to be because of alcohol or drug use, or caused by crowd behaviour or improper safety management?: Offcopy of the landholder or development consent: Offapproval for a multi-year event from landholder and evidence of notification: Offwill there be sale and supply of alcohol: OffA1 start HH: A1 start MM: A1 end HH: A1 end MM: DD17: MM17: YY17: A2 start HH: A2 start MM: A2 end HH: A2 end MM: P2 start HH: P2 start MM: P2 end HH: P2 end MM: A3 start HH: A3 start MM: A3 end HH: A3 end MM: P3 start HH: P3 start MM: P3 end HH: P3 end MM: DD18: MM18: YY18: A4 start HH: A4 start MM: A4 end HH: A4 end MM: P4 start HH: P4 start MM: P4 end HH: P4 end MM: DD19: MM19: YY19: A5 start HH: A5 start MM: A5 end HH: A5 end MM: P5 start HH: P5 start MM: P5 end HH: P5 end MM: DD20: MM20: YY20: A6 start HH: A6 start MM: A6 end HH: A6 end MM: P6 start HH: P6 start MM: P6 end HH: P6 end MM: DD21: MM21: YY21: A7 start HH: A7 start MM: A7 end HH: A7 end MM: P7 start HH: P7 start MM: P7 end HH: P7 end MM: If liquor will be sold/supplied after midnight, what steps will be taken to ensure the quiet and good order of the neighbourhood will not be disturbed: Will this music festival have a licensee and an approved agent: Off01 Salutations 3: Off06 Other Title 3: given name 3: family name 3: Street address: Suburb / town / city: State 1 2: State 2 2: State 3 2: Postcode 1 1: Postcode 2 1: Postcode 3 1: Postcode 4 1: Email 2: daytime phone 1 2: daytime phone 2 2: daytime phone 3 2: daytime phone 4 2: daytime phone 5 2: daytime phone 6 2: daytime phone 7 2: daytime phone 8 2: daytime phone 9 2: daytime phone 10 2: approved agent comp card no: Ln1 3: Ln2 3: Ln3 3: Ln4 3: Ln5 3: Ln6 3: Ln7 3: Ln8 3: Ln9 3: Ln10 3: have you attached your safety management plan: Offmedical services and harm reduction: Offrsa: Offsecurity and crowd management: Offconsultation with stakeholders - applicant comments: fatalities or clinical presentations in the last three years - applicant comments: medical personnel - management plan pg reference: staff numbers, qualifications, experience and roster - proposed controls: first aid provision - proposed controls: rostered hours - proposed controls: locations - proposed controls: emergency vehicles - management plan pg reference: pre-deployed ambulances - proposed controls: is provision for an ambulance forward commander included in plan: Offacute health services proximity to event - management plan pg reference: nearest hospital - proposed controls: nearest tertiary hospital - proposed controls: onsite processes - management plan pg reference: triage and monitoring - proposed controls: medical treatment - proposed controls: hospital transfers - proposed controls: harm reduction services - management plan pg reference: harm reduction services - proposed controls: chill out space - management plan pg reference: chill out space - proposed controls: dehydration and water availability - management plan pg reference: drug and alcohol management - management plan pg reference: event being promoted as drug free: Offdehyrdation and water availability - proposed controls: security guards conducting bag searches: Offidentification and management of intoxicated patrons - proposed controls: harm reduction messaging - management plan pg reference: harm reduction messaging - proposed controls: extreme weather - sun exposure and dehydration - management plan pg reference: shade areas marked on the site plan: Offweather monitoring - proposed controls: additional active cooling measures be made available in the event of a hot weather forecast: Offlist cooling measures: hot weather messaging broadcast: Offsharps and contaminated waste - management plan pg reference: accessible toilets only: Offtoilets: Offmedical tents: Offother: Offrsa practices - management plan pg reference: all bar staff have rsa: Offrsa marshalls operating at event: Offno of rsa marshalls: food available at the festival: Offprovide details: licensed area physically defined: Offdescribe licensed area: number and location of bars and selling points: applicant ensure that liquor is not taken away from licensed area: Offsecurity officers engaged for the duration of the festival: Offdetails of security: drink restrictions - management plan pg reference: proposing drink restrictions: Offexamples of restrictions: site security coordination - management plan pg reference: details of site security coordination: site management - patron behaviour and crowd control - management plan pg reference: details of site management: patron supervision and restrictions on entry - patron behaviour and crowd control - management plan pg reference: will there be ID checks conducted prior to entry: Offwill there be separate tamper resistant wristbands for under 18s: Offcritical incident evacuation - patron behaviour and crowd control - management plan pg reference: describe what protocols are in place in the event of an evacuation: applicants comments 1: applicants comments 2: 01 Salutations 6: Off06 Other Title 6: given name 6: middle name 6: family name 6: gender 6: DD15: MM15: YYYY15: City or town of birth 6: Email4: Mobile 1 2: Mobile 2 2: Mobile 3 2: Mobile 4 2: Mobile 5 2: Mobile 6 2: Mobile 7 2: Mobile 8 2: Mobile 9 2: Mobile 10 2: home phone 1 2: home phone 2 2: home phone 3 2: home phone 4 2: home phone 5 2: home phone 6 2: home phone 7 2: home phone 8 2: home phone 9 2: home phone 10 2: daytime phone 1 3: daytime phone 2 3: daytime phone 3 3: daytime phone 4 3: daytime phone 5 3: daytime phone 6 3: daytime phone 7 3: daytime phone 8 3: daytime phone 9 3: daytime phone 10 3: Driver Ln1 2: Driver Ln2 2: Driver Ln3 2: Driver Ln4 2: Driver Ln5 2: Driver Ln6 2: Driver Ln7 2: Driver Ln8 2: Driver Ln9 2: Driver Ln10 2: State 1 10: State 2 10: State 3 10: Residential street address 3: Suburb / town / city8: State 1 11: State 2 11: State 3 11: Postcode 1 8: Postcode 2 8: Postcode 3 8: Postcode 4 8: Country if not Australia7: Postal address 3: Suburb / town / city9: State 1 12: State 2 12: State 3 12: Postcode 1 9: Postcode 2 9: Postcode 3 9: Postcode 4 9: Country if not Australia8: is the applicant also the music festival business owner: Off01 Salutations 7: Off06 Other Title 7: given name 7: middle name 7: family name 7: Email6: Mobile 1 3: Mobile 2 3: Mobile 3 3: Mobile 4 3: Mobile 5 3: Mobile 6 3: Mobile 7 3: Mobile 8 3: Mobile 9 3: Mobile 10 3: daytime phone 1 5: daytime phone 2 5: daytime phone 3 5: daytime phone 4 5: daytime phone 5 5: daytime phone 6 5: daytime phone 7 5: daytime phone 8 5: daytime phone 9 5: daytime phone 10 5: Name of organisation2: ABN1 2: ABN2 2: ABN3 2: ABN4 2: ABN5 2: ABN6 2: ABN7 2: ABN8 2: ABN9 2: ABN10 2: ABN11 2: ACN1 2: ACN2 2: ACN3 2: ACN4 2: ACN5 2: ACN6 2: ACN7 2: ACN8 2: ACN9 2: daytime phone 1 4: daytime phone 2 4: daytime phone 3 4: daytime phone 4 4: daytime phone 5 4: daytime phone 6 4: daytime phone 7 4: daytime phone 8 4: daytime phone 9 4: daytime phone 10 4: Email5: website2: Business street address: Suburb / town / city10: State 1 13: State 2 13: State 3 13: Postcode 1 10: Postcode 2 10: Postcode 3 10: Postcode 4 10: Country if not Australia9: Check Box10: OffPostal address 4: Suburb / town / city11: State 1 14: State 2 14: State 3 14: Postcode 1 11: Postcode 2 11: Postcode 3 11: Postcode 4 11: Country if not Australia10: Full name of applicant: DD22: MM22: YYYY22: 1: Name of officeholder:

Position: DD23: MM23: YYYY23: 2: Name of officeholder:

Position2: DD24: MM24: YYYY24: Name of representative: Representative's business name: Email8: daytime phone 1 7: daytime phone 2 7: daytime phone 3 7: daytime phone 4 7: daytime phone 5 7: daytime phone 6 7: daytime phone 7 7: daytime phone 8 7: daytime phone 9 7: daytime phone 10 7: Address for correspondence: Suburb / town / city16: State 1 15: State 2 15: State 3 15: Postcode 1 12: Postcode 2 12: Postcode 3 12: Postcode 4 12: Payment: Offpayment amount: Card type: Off1 Credit card: 2 Credit card: 3 Credit card: 4 Credit card: 5 Credit card: 6 Credit card: 7 Credit card: 8 Credit card: 9 Credit card: 10 Credit card: 11 Credit card: 12 Credit card: 13 Credit card: 14 Credit card: 15 Credit card: 16 Credit card: name on card: MM25: YYYY25: DD26: MM26: YYYY26: Drawer name: 07 check box: Off08 check box: Off09 check box: Off15 check box: Off16 check box: Off17 check box: Off10 check box: Off11 check box: Off12 check box: Off13 check box: Off14 check box: Off18 check box: Off19 check box: Off20 check box: Off21 check box: Off22 check box: OffApplicant’s name: DD27: MM27: YYYY27: Location at the premises: DD28: MM28: YYYY28: DD29: MM29: YYYY29: A54 start HH: A54 start MM: A54 end HH: A54 end MM: A55 start HH: A55 start MM: A55 end HH: A55 end MM: DD30: MM30: YYYY30: name, position, organisation: DD31: MM31: YYYY31: Ln1 5: Ln2 5: Ln3 5: Ln4 5: Ln5 5: Ln6 5: Ln7 5: Ln8 5: Ln9 5: Ln10 5: I advise development consent: OffDA no: Application no: DD32: MM32: YYYY32: DD33: MM33: YYYY33: Applicant’s name 2: DD34: MM34: YYYY34: Location at the premises 2: DD35: MM35: YYYY35: DD36: MM36: YYYY36: A56 start HH: A56 start MM: A56 end HH: A56 end MM: A57 start HH: A57 start MM: A57 end HH: A57 end MM: DD37: MM37: YYYY37: Name of the music festival licence: Address of the music festival licence: name, position, organisation2: DD38: MM38: YYYY38: Application no2: DD39: MM39: YYYY39: DD40: MM40: YYYY40:

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