Clinic Organisation

Please fill in the following details so we can set-up your clinic on our website:

First name

Last name

E-mail

Mobile Phone

Clinic Details

Clinic Hosting Options (select one that applies)

Level 1: Basic - Event Created, Ticketing & Sales

Level 2: Level 1 + Digital Waivers Collected

Level 3: Level 2 + Facility Bookings (e.g. Overnight Yards)

Other (Pricing TBA)

For more details and pricing.

Clinic Title

Start Date of the Clinic

Day

Month

Year

Last Date of the Clinic

Day

Month

Year

Detailed Clinic Description

Enter in details of the clinic, such as the clinician, what the clinic is about and what participants would expect attending the clinic. Things to consider are whether they need to bring a chair, food and so on.

Please Provide the Schedule for Each Day

E.g. 8:00am meet and greet then 60-minute lessons start. Lunch at 12:30pm. Lessons resume at 1:30pm. Finish at 5pm. If different for each day, please provide the information.

Property Address of where the Clinic will be Held: Number & Street Name

State

Post Code

Does the Property have a name, please provide this here

E.g. Walgrove Homestead

Any special directions for getting to the Property?

Consider including this if Google Maps or GPS may take people to the wrong location.

Daily Start Time of Clinic

Time

HoursMinutes

Daily End Time of Clinic

Time

HoursMinutes

Number of Participants

Cost of Participant Spot ($)

Please enter total cost of the Participant spot (note: there is a 2.5% service charge that will be applied to this total at Participant checkout)

Main Image for the Clinic

This will appear on our website. Please don't include total costs on the image.

Any Additional Images for the Clinic

Add up to 2 more additional images for inclusion

Map of Facility with Parking etc.

Please upload an image showing your entire facility and where key amenities are available such as float parking, toilets, accommodation, arena etc. This will be e-mailed when people book their spot.

Please select all that apply (and supply additional information):

Spectator spots required?

Waitlist required?

Digital waiver signature and collection required?

Facility bookings required (i.e. overnight yards)?

Any additional information you would like to provide?

Your Payment Details

This is where the funds will go once received from ticketing sales 14 days prior to the Clinic Start Date.

Bank Institution

E.g. Commonwealth Bank

Account Name

BSB:

Account Number:

Terms & Conditions

It is the host organiser's (usually the person submitting this form) responsibility to fill the clinic, not that of Lagoballo.
Waiver generation is the responsibility of the host organiser.
Participant/spectator cancellations are non-refundable within 14 days of the clinic start date. After this point, it is the responsibility of the host organiser to find a replacement, as all funds will have been transferred to the host organiser by this date.
Lagoballo is not responsible for any information submitted as part of this form that is incorrect. The host organiser must check spelling, and details are correct/accurate prior to submitting.
Ticket Service fees (2.5%) are added to the cost of each ticket, which are passed on to the customer at the time of booking/check-out. (E.g. If the ticket was $100, the total payable by the customer is $102.50.)
Lagoballo is not responsible for activities and/or incidents occurring at the Event or outside of the Event.
Communications and invoices will be sent to the e-mail address provided in this form.
We recommend adding Lagoballo into your Facebook group/event (you will need to follow us on our page first) so we can directly answer any questions for booking queries.

Agreement & Submission

By signing and submitting this form, I understand and agree to the terms provided, and that everything has been provided accurately and to the best of my knowledge.

Signature

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