P. NZ European P. Are you applying as an individual or grou. Whiti Te Rau Hou Trust. of applicant. Full name. Tom Mc Cormick

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1 1 Are you applying as an individual or grou E Individual II Group Full name of applicant Whiti Te Rau Hou Trust Contact person (for a group) Daytime phone number Tom Mc Cormick Postal addres. All correspondence will be sent to this address Street/P 0 Box Suburb City 23 Main Rd Raglan Post Code 3225 blabberingtreecollective@gmail.com Ethnicity a. _pplicant Please tick and provide detail eg Ethnicity: Pacific Island, Detail: Samoan P. NZ European P Maori I Pacific Island I Asian I Middle Eastern/ Latin American/African Other Page 2 of 16

2 Would you like to speak in support of your application at the local assessment committee meeting? If you mark yes, talk to your local CCS administrator before you go so you know who you will be speaking to and for how long. 2 Yes ri No Bank acco:(...:.:..ame and number This is where fu Name be deposited if your application is successful Whiti te Ra Hou Trust Account Number Project name For example, South Taranaki children's ceramic workshops Taonga Paoro Workshop and Performance Brief Description For example, six ceramic workshops during the school holidays for children aged 8-12 This is a 2 day workshop and performance for local Youth to be introduced to and learn the Ancient Maori Instruments from a Master Tutor Horomona Hora Does your project have an nrts or Yes No Will your project take place within the city or district where the applicatio,' made? Yes No Page 3 of 16

3 If the answer is no to either of these questions your project is likely to be ineligible. Please contact your CCS administrator. 3 Page 4 of 16

4 4 Funding criteria nf the scheme's funding criteria are you applying under? Please select one. If your project meets more than one criteria, choose the one that is the project's main focus. You can find examples of each criteria in the CCS Application Guide page 10 Participafo:-,: Create opportunities for local communities to engage with, and participate in, local arts activities. Diversity: Support the diverse arts and creative cultural traditions of local communities. Ynitr,:,!IF participate in, the arts. Enable young people (under 18 years) to engage with, and If you do not know which of the three fits your project, contact your CCS administrator. 3 See t )lication Guide on pap What do you want to do? We are planning to run a top class 2 day workshop and performance with Waikato University Tutor Horomona Horo in the Ancient Maori instruments Taonga Paoro at Raglan Old School Arts Centre. The workshops are aimed at introducing local youth of all nationalities to the Music of Taonga Paoro and its opportunities. Evening Sessions will be offered to local Adults who would be interested in taking part and a public performance on the second night. We plan to offer this coarse to all local schools and would like to have youth participants at the day sessions. Horomona came to the fore front of Taonga Paoro having studied with the masters before him with starring performance with Green Fire islands and more recently invited to perform as apart of the 100 year commeration of Gallipoli.ln the great tradition of maori culture he is passionate about the renaissance in these instruments and that by passing the knowledge the music will continue in a vibrant healthy way. Page 5 of 16

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6 6 4 See the LL3 /Application uuiae on page How will your project benefit your community? Particapants will experience first hand the magic of these ancient set of instruments native to these islands. Taonga paoro has a healing effect on both its listeners and players and would greatly benefit our community. 5 See t.._ Application Guide on page _ Where, when and how will the project happen? Venue/location:Raglan Old School Arts Centre Project start and finish dates: Nov 19 / Details of how the project will happen: Workshops Youth Classes Daily 10am -3pm Adult Class 7pm-9pm Public Performance Fri Evening 7 pm -10pm Page 7 of 16

7 7 See We C.C.S Application Guide on page S Tell us about the key people and/or community involved Raglan Area School the local high school will use the majority of the Youth Places,but we will look at both a junior and senior class option. I will be co-ordinating and be on site thru the coarse and will provide technical support for both workshops and performance. Horomona will take the classes and is looking at bringing 2 under graduates from Waikato Music faculitiy to assist. Whiti te Ra Hou trust is facilitating this appplication and board members Are available for on going support. ETtWlated mwrther of a attend Hid pants Page 8 of 16

8 8 much will it c Are you GST registered? GST number Yes No If you are GST registered, do not include GST in these amounts. If you are not GST registered, please provide the amounts including GST. This budget includes GST This budget does not include GST roject costs Write down all the costs of your project and include the details For example materials, venue hire, promotion, equipment hire, artist fees and personal costs. See the CCS Application Guide on page 6 Item Detail Amount eg Hall hire eg 3 days hire at $100 per day eg $ Tutor Fees $1000 Accomodation PA and Lighting Venue Hire Workshop Materials Advertising and posters. Petrol 2 nights Wood Templates A: Page 9 of 16

9 Projec, Write 9 :ome all the income you will get for your project from ticket sales, sale of artwork, other grants, donations, your own funds, other fundraising. Do not include the amount you will be requesting from CCS. Item Detail Amount eg Ticket sales eg 250 tickets at $15 per ticket eg $3, Student\Adult Fee $10 $150 Performance Gold Coin $50 B: tal Income $200 Calculate your request from CCS using this table A Total cost of project $2000 B Less total income C Difference L. Amount requested from CCS $1co Page 1 0 of 16

10 10 Financial bad::?,..on. Tell us about any funds from Creative ing you have applied for or received ior s r.aland's other funding programmes). project (including Date applied Source of funding Type of funding Date of result Amount eg grant October 2013 CCS Grant $1100 October 2014 CCS Grant $1180 Tell us about other grants you have received through CCS in the past three years. Date Project title Have you submitted a project completion report for this project? Amount Groups or organisations must provide a copy of their latest financial statement. This can be a copy of the audited accounts, an income and expenditure statement or a copy of the unaudited management accounts. If your group or organisation has reserves which are not being used for this project, you should include your reserves statement or policy. Page 1 1 of 16

11 11 8 Which of the following artforms best describes your project? Please select one. If your project combines more than one artform, select combined arts. See the CCS Application Guide on page 6 for definitions of each artform Combined arts Craft/object art Dance Film Literature Maori arts Music Pacific arts Theatre Visual arts Which of the following activities best describes your nroject? Please select one. See the CCS Application Guide on page 8 for definitions Creation only Creation and presentation Presentation only (performance or concert) Presentation only (exhibition) Workshop Page I 2 of 16

12 What is the cultural tradition o' 12 r project? The cultural tradition of your project relates to the particular heritage that your project is part of. Cultural tradition does not relate to your group's ethnic affiliations or geographical origins. elect the cultural tradition that best relates to your project and give additional information, needed. For example, a kapa haka performance would be categorised as Maori arts or a traditional Polish dancing workshop would be Cultural tradition: European, Detail: Polish C, Tradition - Maori - Pacific Island 1- Asian 1- Middle Eastern/ Latin American/African 1- Other Detail Ancient Maori Instrumentation Workshop Page 13 of 16

13 13 9 Declaration I/We understand that if this application is successful I/we cannot receive funds for the same project from Creative New Zealand's other funding programmes. I/We declare that the details contained in this application are correct and that I/we have authority to commit to the following conditions. If this application is successful, I/we agree to: >. Complete the project as outlined in this application. >- Complete the project within one year of the funding being approved. >- Complete and return a project report form (this will be sent with the grant approval letter) within two months after the project is completed. >- Return any unspent funds. >' Participate in any funding audit of my organisation or project conducted by the local council, if required. >- Contact the CCS administrator to let them know of any public event or presentation that is funded by the scheme. >' Acknowledge CCS funding at event openings, presentations or performances. >. Use the CCS logo in all publicity (eg poster, flyers, e-newsletters) for the project and follow the guidelines for use of the logo. Logo and guidelines can be downloaded from I/we understand that the Waikato District Council: >. Is bound by the Local Government Official Information and Meetings Act >. I/We also consent to it recording the personal contact details provided in this application, retaining and using these details, and disclosing them to Creative New Zealand for the purpose of evaluating the Creative Communities Scheme. >. I/We understand that my/our name and brief details about the project may be released to the media or appear in publicity material. >- I/We undertake that I/we have obtained the consent of all people involved to provide these details. I/We understand that I/we have the right to have access to this information. >- This consent is given in accordance with the Privacy Act Page I 4 of 16

14 14 Name Tom Mc Cornnick Signature Position in organisation (if applicable) Trust Board Member Name and signature of parent or guardian if applicant is under 16 years of age: Name Signature Date How did you hear about this fund? Council website Council mail out Council staff member Creative New Zealand website Radio Social media Word of mouth Other (please give details): Local newspaper Poster/flyer Page 15 of 16

15 15 Make sure you have: Completed all the sections Checked that your budget balances Provided quotes and financial details Attached supporting documents Waikato District Council, P 0 Box 544, Ngaruawahia 3742 Attention: Lianne van den Bemd, Community Development Coordinator Courier your application to: Waikato District Council 114 Great South Road, Ngaruawahia 3742 Hand deliver your application to: Waikato District Council 15 Galileo Street, Ngaruawahia Page 16 of 16

16 X;ig fan Community 16 Arts Councd for Use: Old School Arts Centre HIRI ' GALLERY, ST LAZARUS ART STUDIO A1S1) BACK UARDEN Name of Hirer: Organisation: _ Room(s) Required: THEATRE / GALLERY! ST LAZARUS KITCHEN/ WET ART STUDIO / BACK GARDEN Event: Event Date: Full Day: D Half Day: 111 Evening: Times (including set-up & pack-down): half day - Mornings are considered to be between the hours of 7am 12pm (5 hrs) half day - Afternoons between the hours of 12pm Spin (5 (irs) half day - Evenings between the hours of 5pm lopm (5 hrs) part day: between the hours of 8am 3pm (7 (irs) Contact Person: Phone: Mobile: Address: From 1 April 2015, the hire of one room and use of tea/coffee making facilities will be as follows (all prices include GST): Standard Rate: Corporate hire or any function, workshop, class or activity with participant fees of $15 or more per half day or evening. (eg: Photography classes with participant fee of $30 or more per day): $60 for a half day or evening use / $120 for a full day / $100 for 8am-3pm / or as per the Special Conditions on attached page. Reduced Rate: Community hire for hui, planning session, workshop, class meeting or any activity with free entry, entry by koha or participant fees of under $15 per half day or evening: $30 for a half day or evening use / $60 for a full day / $50 for 8am-3pm Special Members' Group Rate: for Old School Arts Centre member groups. Eg: Writers Group, Art for Art's Sake, Life Drawing, Karioi Quilters, Clay Shed (These are multiple-day hires arranged for the whole year.): $20 for a half day or evening use / $40 for a full day / $33 for 8am-3pm Use of St. Lazarus Kitchen: $30 per half day or evening use / $60 for a full day Use of Back Garden (includes x 8 outdoor tables, x 8 wooden chairs, x 35 green chairs and x 2 patio umbrellas): $30 per half day or evening use / $60 for a full day On-site hire of new Video/Projection Equipment / off-site hire of older Video/Projection equipment: $25 Hire of PA System: see separate agreement for rates and conditions. O IT Support required for Video/Projection/Sound Equipment: $50 extra * See over for rate guidelines and discounts:- \,,smat MO - 9CX Ord School" Arts Centre 5 Stewart Street Raglan 3225 NZ Phone: (07) ": info@ragranartscentre.co.nz We6: www. rag Canartscent re. co.nz

17 X;ig fan Community 17 Arts Councd Room rates above include use o f tea making facilities in Foyer area but not use o f the main kitchen in the St. Lazarus building. This is an additional cost. Members of the Old School Arts Centre qualify for a 10% discount on the Standard Rate and Reduced Rate fees. Rates for multiple rooms, use o f the whole building, the Gallery Room for exhibitions, the site or use o f the pottery are by application to, and negotiation with, the Raglan Community Arts Council Committee. A non-refundable deposit of 25% is required immediately upon booking. The balance is due on the Date of the event Old School Arts Ccnt re Welcome to o u r lovely old building! W e hope you enjoy y o u r time here. Please help us to take care o f this valuable community resource! Terms and conditions o f hire: * The hirer agrees to act in the best interests o f the Raglan Community Arts Council and the Old School Arts Centre and any other users at all times during the period o f the hire. * A non-refundable deposit of 2 5 % is required immediately upon booking. The balance is due on the Date o f the Event. * A cancellation made within 21 days o f the event will forfeit the 25% deposit. * A charge of $50 will be incurred for any damage to the projector screen in the Theatre Room, including i f it has been pulled down too far and cannot be rolled up. * A bond of $100 may be required. This will be refunded in full unless damage occurs or additional cleaning is required. In the event that the centre supervisor deems that damage has occurred the bond will be forfeited and any additional repair costs charged to the hirer. * Please note: The Raglan Old School Arts Centre will retain on hold all unclaimed/unidentified money for 90 days; thereafter any unclaimed/unidentified money will be banked as a donation to the Raglan Old School Arts Centre. * The venue is to be left ready for use which includes putting back all furniture and equipment in each room (as per the Hire Inventory), vacuuming, mopping where necessary, wiping clean all surfaces used, cleaning the bathrooms, removing all garbage and recycling, both inside and out. You may nominate to have the venue cle le 1 for you at If ee,,, an additional charge of $50 if required (NB: this does NOT cover the putpog b2ck o f fl,. you have chosen the self-clean option and it is deemed by the centre supervisor that the venue needs further cleaning following your event, the cleaning fee will be deducted from your bond. * A special license is required if alcoholic beverages are to be sold at any function. I f you require a special license it may be obtained from the Waikato District Council Licensing authority. This license must be displayed in the venue at the time o f the event and must be sighted by the venue supervisor prior to the date o f the function. NB. It is the responsibility o f the hirer to obtain a special license and comply with the requirements o f the license. * The kitchen facilities are available for self-catering use. The hirer is responsible for the supply o f all catering requirements and the removal o f all foodstuffs and catering equipment after the function. This includes ensuring there are no food scraps left in the building and that the stove (including the oven) and the refrigerator are clean. All dishes should be washed (the dishwasher must be empty or in cycle when you leave the building). * If you are using the venue over several days you may apply to the Raglan Community Arts Council to store any materials you require. The storage o f materials must be approved in advance. \,,smat MO - 9CX Ord School"A r t s Centre 5 Stewart Street Raglan 3225 N Z Phone: (07) ": info@ragranartscentre.co.nz We6: www. rag Canartscent re. co.nz

18 X;ig fan Community 18 Arts Councd * The Old School Arts Centre has a video projector equipped for data shows and movies as well as a PA sound system and a band sound system. This equipment is available for hire at the Centre. The hire charge for video and audio equipment is additional to the room rental charges. * Penalty of $50.00 payable if the Arts Council is called out, out of hours, for open windows, lights left on, or inappfupriate alarm call-outs. NB: The Raglan Community Arts Council who operate the Old School Arts Centre, Stewart St, Raglan, take all care with hirers and exhibitor's property: however we are in no way responsible for it. Your equipment or artworks are not covered by insurance for loss or damage while they are in the building. We strongly recommend that you insure any property or equipment with your own insurance company or broker. Thank you. Payment options: direct credit to: (please include your name, reference or invoice no.) cash or Eftpos payable at the Old School Arts Centre during opening hours or by cheque to the 'Old School Arts Centre' Agreement for Use: Special Conditions THEATRE OR GALLERY OR ST LAZAR'. S ART STUDIO Agreed Special Discounted Rate: $ Confirmed Dates & Times*and/or Special Conditions: * all dates are inclusive per day / per Event Agreed Room Hire Times **: am pm ** Additional time required for set-up or r. J:e-down is a11y possible, but must be confirmed in advanced with either the Arts ErIcilii-arc c,- Tte Arts A71, 7VO; ;,,,aiveniencing other Arts Centre users. Deposit Received: $ Date: Bond Paid: $ Date: Final Payment Due: $ Date: Payment Received: : $ Date: Bond Refunded: $ Date: Signature**: Date: * In signing this document, the hirer has agreed to the requirements set out in the Conditions o f Use Agreement \,,smatrol) - 9CX Ord School" Arts Centre 5 Stewart Street Raglan 3225 NZ Phone: (07) ": info@ragranartscentre.co.nz We6: Canartscentre.co.nz

19 X;ig fan Community 19 Arts Councd The Lazarus Kitchen is registered with the Waikato District Council for commercial food preparation Please note the following personal hygiene and basic rules for food handlers using the St Lazarus kitchen Wash hands before starting work and after every break, using the toilet, when hands are dirty or contaminated with raw foods such as meat or poultry Food handlers to wear clean, light coloured protective clothing Cover all cuts and burns on hands, arms and face with coloured waterproof dressings Do not lick fingers when handling food, and keep fingernails short and clean; no false nails, nail varnish or other nail decoration Food handlers must not sneeze or cough over food Smoking is not permitted in the food preparation area Minimum jewellery a plain wedding band is acceptable Tie hair back, preferably cover it No Bicycles, skateboards, or surfboards anywhere in the kitchen area Food is not to be eaten in the food preparation area behind the counter Food is to be rinsed off all items before being placed into the dishwasher Bring own chopping boards Bring own sanitised tea towels and dish cloths,smat Ord School" Arts Centre 5 Stewart Street Raglan 3225 NZ Phone: (07) info@ragranartscentre.co.nz We6: Canartscentre.co.nz 9CX

20 Gmail - Room Quote Gmail 20 Room Quote Raglan Sunset Motel <info@raglansunsetmotel.co.nz> To: blabberingtreecollectiye@gmail.com Thu, Sep 24, 2015 at 3:56 PM Hi Tom, The rate for a single studio room with double or single occupancy is currently $135 per night, from December through February the rate is $165. Regards Brent Signature 7 Bankart Street Raglan Phone Fax info@raglansunsetmotel.co.nz Gmail - Room Quote.html[28/09/2015 9:51:09 a.m.]

21 Gmail - Room Quote Ctrl Click Here to go to Google map 21 For your information Cancellations with less than 48 hours notice may result in the total amount for the booked accommodation being charged. Gmail - Room Quote.html[28/09/2015 9:51:09 a.m.]