Online Form - Request to Film Form

Would you be willing to provide some raw video footage or photography to the Shire for it to use for its own purposes (after a stated time)?:
I require vehicle access onto the reserve:
I will have animals on site:
I will have an amplified sound system:
I will be erecting structures on site:
Declaration: I/We hereby acknowledge having read the Conditions of use and agree to ensure compliance therein: *