Workshop/Event Application Form

PLEASE READ BEFORE APPLYING! We kindly ask that before you submit an application form you email us (practitioners@qicrystals.com.au) or call us (0411 609 193) with your proposed date and time of this event. As the hiring of our event spaces fills up quite quickly, confirming your preferred time date/time is available allows us to place time date/time on hold pending your application. Please note that placing your preferred date on hold does not mean your application has been approved, but rather ensures that upon approval you have a secured timeslot. Thankyou!*

I have called and outlined my preferred date/time
I have emailed and outlined my preferred date/time

Name:*

Contact Number:*

Email Address:*

Workshop Date*

Please select your Workshop Space*

Room 1 (Saturday only)

Room 1 is the largest of our rooms (approximately 3.5 x 5.5m), and is perfect for individual sessions, especially if your practice and/or modality require a little more space. This room holds up to 20 people in theatre style seating, or ~15 people seated in a circle. There is opportunity for clients to lay down but this should be discussed with Qi staff before applying as this will be case dependant.

Proposed Workshop Time Slot*

Half day (3hr) booking (10am-1pm) $125
Half day (3hr) booking (2pm-5pm): $125
Full day (7hr) (10am-5pm): $225

Please upload your; Certificate of Insurance, Public Indemnity & Liability*

Drop files here or

Accepted file types: jpg, pdf, Max. file size: 32 MB.

PLEASE NOTE: All workshops will require a Certificate of Currency to go ahead.

Please list qualifications that allow you to facilitate this workshop/event:

Please upload proof of your listed Qualifications:

Drop files here or

Accepted file types: jpg, pdf, Max. file size: 32 MB.

(eg: Completion of Training and/or Certificates… etc)

Payment:

Workshop hire is worked through a half day or full-day room rate. Full payment is required to secure dates. Payment is non-refundable, and non-transferrable. If you select Credit Card as a payment option, please call the store to make payment over the phone. If payment via Electronic Funds Transfer (EFT) or in-store has not been confirmed within 7 days of putting dates on hold, we will automatically consider this as a cancellation on your behalf and release the dates as being available.

Method of Payment:

Credit Card (via telephone)
In-store (cash, card, cheque)
Electronic Funds Transfer (EFT)*

*EFT transfer available to: Qi Crystals, Fossils, Minerals BSB: 033-047 Account: 322219. Please use your Full Name as a reference.

Please attach a screenshot of the Electronic Funds Transfer below, if you chose this payment option:

Max. file size: 32 MB.

Content Submission for Workshop/Event:

Please fill out the following in order for us to create a page for your workshop on our website. Please see here: https://www.qicrystals.com.au/workshops/ for an example of how your Workshop/Event will be presented.

Workshop/Event Title*

Facilitator's Name*

Event Flyer – **Please note that we will require an event flyer for advertising purposes. The sooner this is sent to us the quicker we are able to place you on our channels for advertising purposes.

Accepted file types: jpg, png, jpeg, Max. file size: 32 MB.

Please attach a relevant image related to your workshop that you have the copyright to. Please, submit images with a minimum 400 x 300 pixel size.

Workshop Times:

Please note the shop opening hours of 10:00AM – 5:00PM on the weekends. Your room will be ready at 9.30AM for set up, with a 10AM start. We allow up to half an hour after 5PM for you to pack up. If you require time outside of this, you must have approval prior to your workshop date by Qi staff. Please note, if you have chosen a half day room rate this includes a 30minute set up before and after your allocated time.

Start Time*

End Time*

Cost*

Deposit Required

Early Bird Special?

Yes*
No

Details of Early Bird Special*

*Date to book by for Early Bird Special:*

Preferred method for Bookings:*

Contact phone or email for Bookings:*

Ticketing Website (if applicable)

Facebook Business Page:

Facebook Event Link:

Please note, we will automatically add your event to our Facebook page if you have noted the link to the Facebook Event above. For boosting/sponsoring an event, please utilise the Facebook Requests form.

Instagram Link:

Website Link:

Workshop Description:*

Submit more photographs

Accepted file types: jpg, jpeg, png, Max. file size: 32 MB.

Business Logo, Facilitator Photograph… etc

Facilitator Biography

Room Requirements:

Please select what you will require to be set up in your room, and a description of the layout (circle or theatre seating etc…)

Please select what you will need in the room:

Please briefly describe the layout (circle, theatre style etc…) If chairs, cushions, massage tables, hairdresser stool, yoga mats & tables were selected above, please specify how many of each is required:

Before submitting, please note:

Please confirm numbers by calling the store 48 hours before your workshop/event, to help logistics. If you have selected Credit Card as a payment option, please call the store to make payment over the phone. If payment via Electronic Funds Transfer (EFT) or in-store has not been confirmed within 7 days of putting dates on hold, we will automatically consider this as a cancellation on your behalf and release the dates as being available.

Promotion & Advertising:

Once workshop has been accepted, and payment has been received, your workshop will then be listed on the Qi Website, as per this submission form. It will then be listed in the Qi Newsletter. As a workshop facilitator, you are also invited to contribute articles for the newsletter, and our website blog. Please refer to the appropriate submission forms for the Newsletter. You are also welcome to utilise our Qi Crystal’s Facebook Page, by submitting Facebook Requests through the appropriate submission form.

To best promote your workshop, we recommend you supply us with your own brochures, postcards and/or business cards. We also suggest you provide us with 2 x A5 posters promoting your event/workshop to be displayed on our notice board and in the shop window; these look more professional if you pay to get them professionally printed at you own cost, but you are also welcome to attach a file below if you would prefer for us to print and laminate them for you.

Upload A5 Poster (optional)

Accepted file types: jpg, png, Max. file size: 32 MB.

Damage to Rooms

We do check the rooms after use, and you are required to notify us of any damage you cause to our rooms, carpet, and/or our facilities. You must be willing to pay for any such damage upon presentation of a receipt for the repair cost. Please note normal wear and tear is expected and we have our carpets cleaned regularly.

I have read through and understood the terms and conditions of booking a workshop with Qi.*

Yes

Workshop/Events Application