Film Request Form Applicant details Name of organisation/education institution*This field is required. Contact name*This field is required. Contact phone number Contact email address Filming details Contact name*This field is required. Phone number*This field is required. Date of filming*This field is required. Start time*This field is required. End time*This field is required. Preferred location(s) to shoot*This field is required. Description of film content*This field is required. Intended audience and where film will be distributed How many people will be onsite? What type of equipment are you bringing to the shoot?*This field is required. Will you be using drones, lights, lasers, generators, animals, helicopters, boats, fireworks/explosives?*This field is required. YesNo Please provide details: Does your film positively promote the Town of East Fremantle? YesNo Please provide details: * Permits Will you require traffic control, footpath or road closure?*This field is required. YesNo Do you require use of a Town's park or reserve? YesNo Please provide details: Will you be filming on or along the river?*This field is required. YesNo Please provide details: Documentation Please upload proof of Public Liability Insurance (certificate of currency)*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Please upload your Traffic Management Plan (if applicable) Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Please upload site map Max File Size: 15.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Please upload other supporting documents Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Type the code from the image: Do not fill this textbox.