Your contact details
First Name:
Last Name:
Email Address:
Landline Number:
Mobile Number:
Fax:
Are you the key contact?	Yes No

Key contact details
First Name:
Last Name:
Email Address:
Landline Number:
Mobile Number:
Fax:

Name of Organisation or Person:
Postal Address:
Suburb:
City:	Postcode:
Name of Event:
Type of Event:	Filming Four Wheel Driving Group Picnics Horse Riding Mountain Biking Running Trail Biking Wedding - Ceremony Only Wedding - Including Reception Other
If other, please specify
Location: (Max 4 Locations)	Akatarawa Forest Battle Hill Farm Forest Park Belmont Regional Park East Harbour Regional Park Hutt River Trail Hutt Water Collection Area Kaitoke Regional Park Pakuratahi Forest Queen Elizabeth Park Wainui Recreation Area

Attendance
No. of Participants:
No. of Spectators:
No. of Stall Holders:
No. of Organisers:
Total:

Will you charge a fee for
Participants	If so, please state average price
Spectators	If so, please state average price
Stall Holders	If so, please state average price

Timing This is an Application only, not a confirmed booking
Event Start Date
Event End Date
Postponement Date
Pack-in Date & Time	12.15AM 12.30AM 12.45AM 1.00AM 1.15AM 1.30AM 1.45AM 2.00AM 2.15AM 2.30AM 2.45AM 3.00AM 3.15AM 3.30AM 3.45AM 4.00AM 4.15AM 4.30AM 4.45AM 5.00AM 5.15AM 5.30AM 5.45AM 6.00AM 6.15AM 6.30AM 6.45AM 7.00AM 7.15AM 7.30AM 7.45AM 8.00AM 8.15AM 8.30AM 8.45AM 9.00AM 9.15AM 9.30AM 9.45AM 10.00AM 10.15AM 10.30AM 10.45AM 11.00AM 11.15AM 11.30AM 11.45AM 12.00PM 12.15PM 12.30PM 12.45PM 1.00PM 1.15PM 1.30PM 1.45PM 2.00PM 2.15PM 2.30PM 2.45PM 3.00PM 3.15PM 3.30PM 3.45PM 4.00PM 4.15PM 4.30PM 4.45PM 5.00PM 5.15PM 5.30PM 5.45PM 6.00PM 6.15PM 6.30PM 6.45PM 7.00PM 7.15PM 7.30PM 7.45PM 8.00PM 8.15PM 8.30PM 8.45PM 9.00PM 9.15PM 9.30PM 9.45PM 10.00PM 10.15PM 10.30PM 10.45PM 11.00PM 11.15PM 11.30PM 11.45PM
Pack-out Date & Time	12.15AM 12.30AM 12.45AM 1.00AM 1.15AM 1.30AM 1.45AM 2.00AM 2.15AM 2.30AM 2.45AM 3.00AM 3.15AM 3.30AM 3.45AM 4.00AM 4.15AM 4.30AM 4.45AM 5.00AM 5.15AM 5.30AM 5.45AM 6.00AM 6.15AM 6.30AM 6.45AM 7.00AM 7.15AM 7.30AM 7.45AM 8.00AM 8.15AM 8.30AM 8.45AM 9.00AM 9.15AM 9.30AM 9.45AM 10.00AM 10.15AM 10.30AM 10.45AM 11.00AM 11.15AM 11.30AM 11.45AM 12.00PM 12.15PM 12.30PM 12.45PM 1.00PM 1.15PM 1.30PM 1.45PM 2.00PM 2.15PM 2.30PM 2.45PM 3.00PM 3.15PM 3.30PM 3.45PM 4.00PM 4.15PM 4.30PM 4.45PM 5.00PM 5.15PM 5.30PM 5.45PM 6.00PM 6.15PM 6.30PM 6.45PM 7.00PM 7.15PM 7.30PM 7.45PM 8.00PM 8.15PM 8.30PM 8.45PM 9.00PM 9.15PM 9.30PM 9.45PM 10.00PM 10.15PM 10.30PM 10.45PM 11.00PM 11.15PM 11.30PM 11.45PM

Number of Vehicles

Do you intend to bring a Vehicle into the park / forest?

Yes No

Vehicles   1 2-5 6-10 11-30 >30 Motorbikes   1 2-5 6-10 11-30 >30   Make Model Registration