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Create your own GETAWAYGetaways Template - May 2010
Bought to you by the Mens Getaway Advisory Committee Bushfire
Recovery,Engaging a cross section of bushfire affected men,
Community RecoveryCommittees (CRCs) and
associated agencies.
Mens GetawaysAdvisory
Committeeempowering greatGetaway events
DVBC
Community RecoveryCommittees
BUSHFIRE SUPPORT CENTREHURSTBRIDGE INC
Getaways Template - Information for you to provide
Your contact information:Name:
_______________________________________________Organisation (if
applicable): ______________________________Contact phone number:
_________________________________Email Address:
________________________________________Your signature:
________________________________________Date of application:
_____________________________________
Brief description of the event/activity. Please also include
howyou feel this will be of benefit to you and your
mates:__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
Venue Details:Location:
________________________________________________Contact name:
____________________________________________Contact phone:
___________________________________________Website Address / Email:
___________________________________
Proposed time and date: __ am/pm ___/___/2010To __ am/pm
___/___/2010
Accommodation (if applicable):Cost per night per head:
____________________________________Number of nights required:
__________________________________Estimated Cost of Accommodation:
$________________Contact Details for Accommodation if different to
Venue:Name: ___________________________ Phone: ________________
A mens Getaways event is to allow men an opportunity to get away
from their normal setting, go toanother location, have a good time
doing something enjoyable, and have time to talk to other
fire-affected blokes and or with people who can help you sort
things through if you wish to. The eventsare for your health and
well-being.
Blokes have a pretty good idea about what we enjoy doing. We can
obtain funding from theVictorian Bushfire Appeal Fund (VBAF) that
has been allocated to the Bushfire Authority (VBRRA)to establish
mens events through this Getaways Template. Obviously, some
conditions areattached to the funding required, such as that mens
health and well being consultants are a part ofthe getaways event,
and that safety considerations have been undertaken. You might even
learnsome stuff to help your kids, or your mates.
This template is for you to complete, to help you think about,
and come up with a great get-awayevent to suit blokes you know in
your community. We would encourage CRCs and hubs todistribute this
template to men who may have an interest in creating a getaway
event.
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Number of participants (maximum 15, including Health & Well
Being
Consultant)______________________________________________________________________
TransportIf your event needs assistance in arranging
transportation to and from your event, please
provide details of departure location and if a driver is also
required.______________________________________________________________________________________________________________________________________________
MealsDaily cost per person. $______________Provider name: __
_____________________________ Phone: _______________(***Dont forget
to check for any special dietary requirements of your
participants***)
Activities and Equipment.Cost and Description of any equipment
not include in venue hire costs (e.g. fishing rods,tools, software,
etc):_______________________________________________________________________
______________________________________________________________________________________________________________________________________________Where
will these items be source from?Provider name:
_________________________________ Phone: _____________Costs of
items:$
Guest Speaker (please tick one box):
We do not require a guest speaker
Mens Getaways Advisory Committee to provide a speaker
We would like to use a guest speaker we already know. Their
contact details are:Name:
_______________________________________________________Agency/Organisation
Name: ______________________________________
Phone Number or email:
_________________________________________Estimated cost:
$________________
Mens Health & Well Being Consultants (please tick one
box):The Mens Getaways Advisory Committee can provide good, down to
earth health andwell being consultants if you do not know
any.Please provide health and well being consultants
Number of health and well being consultants required : _______We
would like to use consultants we already know.
Contact details:Name: ____________Agency/Organisation Name:
__________________
Phone Number or email: _____________________(Verification:
Contact will be made to ensure qualifications and experience is
suitable to meet VBAF Funding requirement. Counsello rsfrom
recognised health, government and/or church agencies are
recommended.)
Estimated cost: $________________Expense Budget for the
eventDescription Unit How many attending Cost per person
TotalAccommodation (per head) $ $Transport (per head) $ $Meals (per
head) $ $Activities orEquipment
Fixed Cost $ $
Health & WellBeingConsultants
PerConsultant
$ $
Cost of Venue Fixed Cost
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Total
Any Other Costs (please describe, and include the
amount:___________________________________________________
$____________________________________________________________________
$_____________________________________________________________________
$_________________
___________________________________________________
$__________________Provider name: _______________________________
Phone: _________________
Funding the Getaway Event
Funding from VBAFPlease contact Paul Thorn, Bushfire Recovery
Authority (VBRRA), 03 909 25897 foradvice regarding the potential
funding assistance available for your event.
Funding from participantsAll events should charge a fee for
participants. As a guide a half day event $20, a fullday event $30,
an event requiring one nights accommodation $50, an event
requiringtwo nights accommodation $60.
Other Funding SourcesIf the event looks beyond the budget of
your participants and these VBRRA funds,please still submit you
application, as we may be able to get you in touch with
otherfunding organisations.
Eligibility The funding provided for the Mens Getaways Events is
for men, 18 years and older
only. Other funding sources are available for youth and/or
family events. A clear majority of men attending the event are men
are impacted by the February
2009 Bushfires and either:o Hold a blue card (VBRRA issued
Referral Card), oro
Have received a bushfire related government grant. Subject to
application and approval by the Getaway Advisory Committee,
additional
attendees may be approved to encourage those who need to
attend.
Insurance/IndemnityThe Getaways Mens Advisory Committee takes no
responsibility for the getawaysactivity. Participants undertake
activities at their own risk. Participants should ensure thatthe
venue, activity provider, transport, accommodation providers,
etc,etc hold theappropriate insurance(s) to ensure coverage of the
participants of the event.
Closing date:
Funding has been obtained for getaways run or booked prior to
November 2010.Applications for funding need to be received by
October 31
st2010. Please submit this
completed template to Paul Thorn, VBRRA, phone 03 909 25897.
[email protected] Fax 03 909 25877 or via mail
to:VBRRAATT: Paul ThornGPO Box 4912Melbourne
For office use onlyEvent Name:__________________________Event ID
Number: _____________________Assessment Date:
____/_____/2010Decision: Approved/Declined/Further info
required
Amount funded: $___________
For queries please contactPaul Thorn at VBRRA03 909 25897
Email your completed template to:[email protected]
mailto:[email protected]:[email protected]:[email protected]
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Victoria 3000
Health and SafetyConsideration is to be given to the health and
safety of participants.
Consideration of group sizes our health and well being
consultants recommendthat group sizes of around 8 to 15 men are
good.
This funding cannot be used for the purchase or consumption of
alcohol or nonevent activities.
If alcohol is served, it is to be provided in a safe and
responsible manner, andservice discontinued when appropriate. As a
guide see Cricket Victoria website Newtown & Chilwell Cricket
Club Alcohol Management Policy for moreinformation
-http://www.cricketvictoria.com.au/files/community/club_documents/68.pdf
In considering activities, there may be some risks involved;
refer to theinsurance/indemnity section.
Media managementIn an effort to allow your event to achieve its
aims, media will not be advised about yourevent. If all of the
members of the event consent to having a report and/or
picturespublished about your event, please send details to Paul
Thorn after the event.Email [email protected]
Any issues regarding media interference should be advised
directly to Paul ThornVBRRA, phone 03 909 25897
http://www.cricketvictoria.com.au/files/community/club_documents/68.pdfhttp://www.cricketvictoria.com.au/files/community/club_documents/68.pdfmailto:[email protected]:[email protected]:[email protected]://www.cricketvictoria.com.au/files/community/club_documents/68.pdf
