Event Stallholder Application

If you would like to apply for a Stallholder's (other than food stalls) Permit, please complete the form below with copy of your current public liability insurance. Food stalls are required to complete a Temporary Food Stall Notification, find out more information on food stalls here.

The Shire of Boddington collects personal information to process requests, applications and related enquiries. Information may be shared with relevant parties where required or as authorised by law. If the information is not provided, the request or application may not be processed. Further information is available in the Shire's Privacy Statement.

Applicant Heading

Applicant

Full Name*

Contact Number*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Email*

Emergency Contact Name*

Emergency Contact Number*

Proposed Stall Assistant(s) Heading

Proposed Stall Assistant(s)

First Assistant

Full Name*

Contact Number*

Address

Street Address:

City:

State:

Post Code:

Country:

Other Proposed Stall Assistant(s) Heading

Other Assistant/s

Full Name

Contact Number

Address

Street Address:

City:

State:

Post Code:

Country:

Event Heading

Event

Event*

If other, please provide the event name

Stall Type Heading

Stall Type

Stall Type*

Proposed Stall Heading

Proposed Stall

Business Name*

ABN (if applicable)

Date(s) of Operation*

Hours of Operation - Start Time*

Hours of Operation - End Time*

Location of Event

Street Address:

City:

State:

Post Code:

Country:

Goods or Services Heading

Goods or Services

Specify the proposed goods/services to be sold/hired or offered for sale from the stall

Goods or Services*

Description of Proposed Stall Heading

Description of Proposed Stall

Specify the proposed set up (eg. Mobile Food Van, 2x Chairs, 1x 3m Trestle Table, 3x3m Marquee)

Description of Proposed Stall*

Public Liability Heading

Public Liability

All stallholders are required to have current and adequate public liability insurance

Public Liability Insurance*

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

Fees Charges and Contacts

Fees and Charges

There is no charge for temporary stall holders at Shire of Boddington events in 2024-25.

Contacts

Please direct all enquiries to the Shire of Boddington Community Development Team via email shire@boddington.wa.gov.au or phone 08 9883 4999

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image