Please fill in this request form and give as much information as possible on your event. Leisure Event Request Form Application for consent Please submit event requests at least 4 weeks before event Enter Contact Details Name of Organisation Name of organiser Correspondence Address Town County Post Code Telephone number Mobile Number Email Address Basic Event Details Date of request .Type of event - profit/non Profit Title of Event Start Date of Event Start Time of Event End Date Finish Time of Event Expected Crowds Type of Event attendees/competitors /marshals/ Spectators (Cycle ride, Walk, Sports event etc) Tick if event is open to public we will add to our public events calendar What is your contact number for public enquiries Event Description (255 Characters only and for publicity in our public events calendar) Location of Event Please specify park and exact location on park e.g. Rutland Water, Sykes Lane e.g. Rutland Water, Sykes Lane or Alton Water, Visitor Centre Please Turn Over Please fill in this request form and give as much information as possible on your event. Please Note: Before any event can be given confirmation a brief outline of the events management needs to be submitted. Please fill in these details below. Management of the Event Preparation/Clearance Times Arrive site Depart Site Expected Numbers and Staffing How many spectators or visitors are you Expecting How Many Event Staff (e.g. Marshals, assistants, security etc) Short description of complete site / activity plan for all areas of the event Outline the safety procedures planned for the Event (e.g. Marshalls, First aid) Provide details of any special request to bring equipment needed for the event (e.g. Marquee, Tent, Caravan etc.) Provide Details of any marketing planned for the event. Please Turn Over Please fill in this request form and give as much information as possible on your event. Management of the Event (Cont) Do you plan to charge for this event? E.g. entrance charges etc Essential Forms and Event Documentation Please note: Public Liability Insurance Cover must be in place to cover this event Provide Copies of all risk assessments associated with the event Tick if submitted Risk Assessment Tick if submitted Liability Insurance (min £5 Million) Declaration Signing below indicates that you will abide by all the rules and bylaws of the Anglian Water Parks and will also follow the procedures you have indicated above to run your event in a safe and legal manner. It also states that you will provide adequate risk assessments and liability insurance to cover your event whilst on site but to also apply for relevant licences from the local authority if and when required (e.g. premises licences, road closers etc) I hereby undertake responsibility for the above event. Signed Date When the information has been initially submitted on this form a decision will be made. Dependant on the scale of your event you may be given permission without an Anglian Water licence Please note that if this event is deemed as large scale or more complex, a full event management plan may be asked for to give greater detail of all aspects of the event you are planning. Cost of hire Charges for the use of our Water Parks for private / 3rd party events are assessed per individual event. Dependant on the scale, purpose or type of event we assess (using this form) the pricing structure and arrange an agreed fee. Please note that a financial bond may also have to be paid (to be released in full at the end of the event) due to the potential for ground damage on our grassed areas. For Anglian Water office use only: Risk Assessment attached Valid Public Liability insurance Anglian Water Contact Name and telephone number …………………………………………. …………………...................................................................................................................... ..... Authorised on behalf of Anglian Water Services Ltd. by: Signed: ...................................................... Job title: ……………………………..………. Please fill in this request form and give as much information as possible on your event. Date: ……………………………….. Please send a completed copy of this form to: The Organiser, Duty Warden, Visitor services manager.