Phantom National Poetry Day 2021        Registration Form


Kia ora and welcome!

This is where you register your interest in managing an event and apply for seed-funding for our 2021 nationwide celebration of poetry.  Please fill in the basic details below to give us an idea of the event you have in mind. Be brief, but clear as your funding may depend on your description!

                                                         PLEASE KEEP YOUR RECEIPT EMAIL!
This allows you to add your blurb, and make any edits later in the year. We will add new sections to this form after registration.

                                          *******   RETURNING ORGANISERS  ********
If you're applying for funding, we want to make things easier for you. If your bank account and contact details are unchanged from 2019, we only need your 2021 event title and basic description.

                        *******   NEW ORGANISERS/THOSE RETURNING FROM A BREAK   *******
You may find it helpful to read the Guidelines Pack (http://www.nzbookawards.nz/national-poetry-day/how-to-execute-your-event/). If you prefer, you can fill in the Registration Form Template as a word document first (you'll find the template here: http://www.nzbookawards.nz/national-poetry-day/how-to-register-your-event/), then just copy and paste your answers into this online form.

                                   
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Email *
Region *
Organisation name *
Contact person *
Address (NB: If you participated in NPD 2020, please skip to Q6 unless contact details have changed.)
Phone number(s)
Title of each event/activity *
Brief description of each event/activity - what do you want to do? (NB: If you already have your blurb ready, fantastic - please paste it here.) *
Each event date/start time/end time. (Events should be scheduled for Phantom National Poetry Day, Friday 27 August 2021, or align with the calendar launch dates. Events not scheduled for the actual day must still have some connection to it.) *
Event address *
Entry cost *
Target audience
Anticipated attendance
Promotions plan (e.g. social media, YouTube, flyers, local media, radio etc.)
Are you applying for seed-funding? *
Total amount of seed-funding sought [up to $250]
Proposed budget. (List your expenses and note what items you are requesting seed-funding for. Eligible items include: poet fees, prizes, special equipment, venue hire, promotional costs and occasionally refreshments. Administration time and alcohol expenses are not eligible for seed-funding. If you have other sponsorship arranged, list this too. We encourage event coordinators to seek additional sponsorship from other community partners.)
Is this event contingent on receiving seed-funding? (Your response to this question will not affect the decision of the seed-funding panel.)
Clear selection
Are you GST registered?
Clear selection
What bank account would you like seed-funding to be paid into, should your application be successful? Please provide bank name, account name, and account number in the following format 1234-1234567-123.
DECLARATION:  I / We agree to adhere to the guidelines and reporting requirements. Tick to indicate you agree to each of the following points.   *
Required
Name
Date
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************* Thank you and welcome to the NPD team! **************
A copy of your responses will be emailed to the address you provided.
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