Run Your Own Event with SCLAA - Event Registration

SCLAA EVENT
REGISTRATION FORM

Thank you for expressing interest to run an event with SCLAA. Please fill out all information outlined in the form below as accurately as you can.

If you experience difficulties submitting your application, please press 'Save & Continue' and follow the link in the email received to re-open your application and submit from there. If you have any further issues please contact secretary@sclaa.com.au

Kind Regards,
The SCLAA Committee

"*" indicates required fields

Step 1 of 11

Who is completing this form?

Name*

First Last

Phone Number*

Email Address*

Are you a current SCLAA Platinum or National Partner?*

Yes

If you answered 'No' to the above question, please tick the box below to confirm you have the authority to agree and authorise payment of the SCLAA event management fee, which is due upon receipt of invoice and prior to any marketing commencing.*

I agree.

Your Event Details

State Division*

Event Type*

State/Division Face to Face

National Event

Webinar/Virtual

Save the date/EOI

Event Title*

Event Description*

Describing the event and outlining the value attendees can expect. Please note this will be used for marketing material to promote your event (Max. 1000 Characters)

Event Description (Short)*

For use on social media (Max. 200 Characters)

Who should attend this event?

Event Date*

YYYY slash MM slash DD

Venue Name*

Venue Address*

Street Address City State / Province / Region ZIP / Postal Code

Event Start Time*

Hours

Minutes

AM/PM

Event Finish Time*

Hours

Minutes

AM/PM

Contact Details

SCLAA State Division / National Event Coordinator Details*

Note: The Divisional contact person will be the Secretariat's main contact and will be sent weekly registration updates. (The contact person should ensure that any authorisation required to publish the information on the event is obtained prior to distribution)

First Last

Is the Event Contact Person someone other than the State President?*

Yes

Event Contact Person (If different to State President)*

(Name of individual/company running the event)

First Last

Phone Number of Event Contact Person*

Email of Event Contact Person*

Webinar Event Questions

Pleasure ensure that all relevant information is provided below - mandatory items are labelled with an Asterisk*. This will ensure correct information is provided and reduce corrections. Approximately 1 week is required between receipt of content and creation of event flyer.

Webinar Topic*

Webinar Set-Up Contact Person*

First Last

Webinar Options*

Will your event include any of the following?

Q&A

Enable practice session

Only authenticated users can join

Make webinar 'on-demand'

Record the webinar automatically

Polling Questions*

List questions below that you want to poll during the webinar. Indicate multiple choice or text answer or radio button choice with options: Only host can see responses, can end poll and can option to share results.

Panelists to be Invited to Contribute to Webinar*

Panelists are full participants in the meeting. They can view and send video, screen share, annotate, etc. You can have 100 panelists (including the host) in a webinar. Please note that panelists will receive a direct email invitation seperate from the attendees of the Webinar. Further information regarding Panelists/Presenters will be requested further down in this form.

Panelist Name

Panelists Email

Maximum Number of Attendees*

Attendees can view the webinar but not contribute unless they are changed to panellists during the webinar or if they are moved to rooms. (Maximum Zoom attendees = 500).

Additional Information, Conditions or Material to be shared with Registrants

Upload any Material to be shared with Registrants

Max. file size: 2 GB.

Face to Face Event Questions

Please ensure that all relevant information is provided below, mandatory items are highlighted with an Asterisk*. This will ensure the information provided is correct and will reduce corrections. Please allow approximately 1 week for creation of the event flyer.

Event Venue Name*

Maximum Number of Attendees (by ticket type)*

Event Venue Contact Name*

First Last

Event Venue Contact Number*

Event Venue Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Google Map Link of Venue*

Instructions or Conditions to be Conveyed to Attendees*

(E.g. Safety gear required, photography allowed/not allowed, access instructions etc.)

Attendee Information to be captured during event registration process.

Additional Information to be Requested (from guests) during Registration*

Name, Email, State, Company Name and Position are automatically requested.

Dietary Requirements

Other

No Additional Information Required

Please list any other additional Information you require during Registration*

Ticket Types

Please outline the ticketing options for your event along with the cost of each.

Who will these tickets be available to?*

Members

Non-Members

Complimentary/VIP

Committee

Other

Will there be a 'PROMO CODE' for Members for this event?*

Yes

Please provide the code & the discount amount you would like to offer*

For example: Code: DISC20 = 20% off ticket price

Members*

Ticket Price inclusive of GST (Format as $0.00)

Non-Members*

Ticket Price inclusive of GST (Format as $0.00)

Complimentary/VIP*

Ticket Price inclusive of GST (Format as $0.00)

Committee*

Ticket Price inclusive of GST (Format as $0.00)

Please outline any other Ticketing Information or Ticket Types*

Marketing Material Questions

Which of the following channels would you like this event promoted on?*

Facebook

Instagram

Twitter

EDM

Are there any Event Sponsors to be Recognised?*

Yes

Please provide the names of these Sponsors*

Please Upload Event Sponsor Logos

Drop files here or

Accepted file types: jpeg, png, Max. file size: 3 MB.

Please Provide Social Media Channels to Tag

Please provide URL for each Social Channel. Each Business or Sponsor can include multiple URLs.

Business/Sponsor Name

Social Platform Name

URL

Please provide any hashtags to be used for event promotion

Please Upload any Additional High Resolution Images to be used in Promotional Material

Drop files here or

Accepted file types: jpeg, png, Max. file size: 2 GB.

Other Documents/Links to be used for Promotional Material

(IE. Sponsorship Prospectus)

Drop files here or

Max. file size: 2 GB.

Please list any other information not detailed above for marketing purposes

Distribution Dates Schedule

5x Dates to promote your event

Announcement Date*

YYYY slash MM slash DD

Reminder #1*

YYYY slash MM slash DD

This field is hidden when viewing the form

Reminder #2

YYYY slash MM slash DD

This field is hidden when viewing the form

Reminder #3

YYYY slash MM slash DD

Last Chance to Register*

YYYY slash MM slash DD

Additional Event Requirements

Do You Require Name Tags?*

Yes

Do You Require Presentation Certificates?*

Yes

Contact Details for Name Tags & Certificate Information*

This is the email that our Name Tag or Certificate file will be sent to.

Name

Email Address

CAPTCHA

SCLAA EVENTREGISTRATION FORM

Who is completing this form?

Your Event Details

Contact Details

Webinar Event Questions

Face to Face Event Questions

Presenters & Panelists

Presenter #1 Details

Presenter #2 Details

Presenter #3 Details

Presenter #4 Details

Presenter #5 Details

Presenter #6 Details

Registration Form Setup

Ticket Types

Marketing Material Questions

Distribution Dates Schedule

Additional Event Requirements

SCLAA EVENT
REGISTRATION FORM