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FUSE Fund
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Application 2025
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FUSE@Large
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FUSE@Large Spring 2021
FUSE@Large Registration Form - FUSE Spring 2021
I am a...
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Artist / Performer / Producer
Arts Organisation
Venue / Gallery
Community Member / Organisation
Event Name / Title
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Name of Community Group / Band / Performer / Presenter / Exhibition
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Your Details
Primary Contact Name
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Mobile Phone Number
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Email Address
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Street Address
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Suburb
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State
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Postcode
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Venue Details
Venue Name
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Choose a venue from the dropdown menu. If your venue is not listed, select 'not listed' and enter your venue details manually.
All Nations Park
Alphington Community Centre
Artery Co-operative
Arts Project Australia
Bar 303
BIGBANG Studios
Bisque Studios
Bundoora Homestead
Dancebourne Arts Studio
Darebin Arts Centre
Darebin Intercultural Centre
East Preston Community Centre
Edwardes Lake Park
Gertrude Contemporary
Gloworm Studios
Islamic Museum of Australia
Keon Park Children's Hub
Leinster Grove Community Hall
Merri Creek Tavern
Northcote Library
Northcote Social Club
Northcote Town Hall Arts Centre
Northcote Town Hall Forecourt
Northcote Uniting Church - Chalice
Open Studio
Preston City Hall
Preston Shire Hall
Preston Library
Preston Reservoir Bowls Club
Retropolis
Swamplands
The Thornbury Theatre
Think Thornbury
Thornbury Bowls Club
Thornbury Picture House
Wesley Anne
Not listed
Venue Name (unlisted)
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Your venue must be within the City of Darebin.
Venue Street Address
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Venue Suburb
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Suburbs included in the City of Darebin are Northcote, Thornbury, Preston, Reservoir, Bundoora, Kingsbury and parts of Fairfield, Macleod and Alphington
Venue Website
If the venue does not have a website, please leave this field blank.
Venue Phone Number
If you do not wish to list a venue phone number, please leave this field blank.
Event Details
Tagline
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A quick intro or grab that will sit above your program blurb. eg Experimental theatre company Pony Cam team up with a group of young artists to transform an urban car park into a large scale performance space. Up to 25 words.
Short Program Blurb
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A concise version of your program copy that paints a clear picture of what your event is. eg An immersive theatre experience set in an urban carpark. Up to 20 words.
Full Program Blurb
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Your full event description. 50-150 words.
Event Date(s)
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Must be between Saturday 4 September and Sunday 19 September 2021.
Event Start Time
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Event Finish Time
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Age Restrictions
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18+ Only
18+ Unless Accompanied by a Parent or Legal Guardian
All Ages
Ticketing
Ticketing Information
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Free Entry
Paid Ticket Entry
By Donation
Ticket Price - Full
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If entry to your event is Free enter $0.00. If entry to your event is by donation, enter a recommended donation amount
Ticket Price - Concession
How do people buy tickets or register for your Event?
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Book in advance only
Tickets at door only
Book in advance and tickets at door
Event is free and bookings are required
Event is free and bookings are not required
Bookings / Enquiries
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Provide contact details for the public to make a booking, purchase tickets or enquire about your event. Can be a phone number, website and/or email address
Access
What Access Services will be offered at your event? Select all that apply.
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Note that wheelchair access doesn't just mean being able to get in and out of the venue. Are there ramps or lifts to higher levels within the venue? Are there wheelchair accessible toilets? A wheelchair-friendly venue should also have specific seating or viewing areas reserved for wheelchair users.
Assistive Listening
Audio Described
Auslan Interpreted
Baby Change Facilities
Changing Place
Closed Captioning
Companion Cards Accepted
Gender Neutral Toilets
Relaxed Performance
Tactile Tour
Wheelchair Access
Wheelchair Access with Assistance
Other
None
If relevant, please provide more detail about the Access Services you are offering.
For example, if only one show in your performance season will be Auslan Interpreted, please provide details for that one session (date and time). Or, if you selected 'Other' please provide detail here.
Marketing & Publicity
Promotional Website Link(s)
Please include a maximum of three links. These MUST be active URL addresses for sites such as: official artist or venue's website, Facebook, Instagram, YouTube, Bandcamp etc
Is your Event specifically targeted towards any of the following audiences?
This will help us to seek relevant media coverage for your event! Select all that apply.
Children
Families
Young People / Youth
Older People
LGBTIQA+ People
Aboriginal or Torres Strait Islander People
Specific Cultural Group
Other
If you selected 'Specific Cultural Group' or 'Other', please provide more detail.
Please provide ideas or points of interest about your event that may be of interest to the media.
Remember, the media is inundated with potential news stories so it is important to try to make your event stand out.
Artform Categories
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This will inform our website's search function. Select all that apply.
Community & Culture
Craft
Dance
Design
Family
Fashion
Film
Food & Wine
Literature
Live Art
Music
Performance
Photography
Poetry
Talk
Tour
Visual Arts
Workshop
Event Labels
This will inform our website's search function and provide audiences with additional relevant information about your event. Select all that apply.
Free Event
Online Event
Participatory Event
Alcohol served to 18+
Mature Themes
All Ages
Family Programming
Event Images
Upload a Hero Image
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This will be the main image to represent your event.
Pixel size: 1280 x 600
Resolution: 300DPI
Preferred file type: JPEG
File size: 2MB
Hero Image - Photo Credit
Upload Additional Image File #1
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An additional image that relates to your event or depicts the event's artists or themes.
Pixel size: 1280 x 600
Resolution: 300DPI
Preferred file type: JPEG
File size: 2MB
Additional Image File #1 - Photo Credit
Upload Additional Image File #2 (optional)
An additional image that relates to your event or depicts the event's artists or themes.
Pixel size: 1280 x 600
Resolution: 300DPI
Preferred file type: JPEG
File size: 2MB
Additional Image File #2 - Photo Credit
Do you certify that you are the copyright owner of the images provided, or you have been granted the rights to use these images for promotional purposes?
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I have read and agree to the Terms & Conditions
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Please review this
Terms & Conditions
document before submitting your registration form.
Once you have completed all required fields, click the submit button below to complete your registration. You should be taken to a 'Thanks' page (this may take a few seconds). If not, check through your form to make sure all required fields have been correctly completed before submitting again.
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